Provider Demographics
NPI:1245258912
Name:SEARCY, EILEEN BARBARA (PA-C)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:BARBARA
Last Name:SEARCY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 SPRING RIDGE DR.
Mailing Address - Street 2:
Mailing Address - City:SUSANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:96130
Mailing Address - Country:US
Mailing Address - Phone:530-251-5000
Mailing Address - Fax:530-257-3943
Practice Address - Street 1:209 BIRCH ST
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:CA
Practice Address - Zip Code:96137-0819
Practice Address - Country:US
Practice Address - Phone:530-256-3152
Practice Address - Fax:530-256-2061
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA17827363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant