| Marina M Ecklund, APRN | |
|
16110 E 14th St, Ashland, CA 94578-3002 | |
| (510) 398-7500 | |
| Not Available |
| Full Name | Marina M Ecklund |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 16110 E 14th St, Ashland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295376663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95037109 (California) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 95037109 (California) | Primary |
| Entity Name | Revive Pathway |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962117440 PECOS PAC ID: 4284081639 Enrollment ID: O20240924001884 |
| Entity Name | Puyallup Tribal Opioid Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992582613 PECOS PAC ID: 4486096377 Enrollment ID: O20241029002291 |
| Mailing Address | Practice Location Address |
|---|---|
| Marina M Ecklund, APRN 16110 E 14th St, Ashland, CA 94578-3002 Ph: (510) 471-5880 | Marina M Ecklund, APRN 16110 E 14th St, Ashland, CA 94578-3002 Ph: (510) 398-7500 |
Mrs. Alexandra Gray, MSN/MPH, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16110 E 14th St, Ashland, CA 94578 Phone: 510-471-5880 | |
Livier Bejinez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16110 E 14th St, Ashland, CA 94578 Phone: 510-471-5880 | |
Ms. Fion Ng, RN, MSN, PNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 16110 E 14th St, Ashland, CA 94578 Phone: 510-471-5880 | |
Mrs. Suzette Michele Watson, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 16110 E 14th St, Ashland, CA 94578 Phone: 510-471-5880 | |
Mr. Moses Sunny Nzeogu, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16110 E 14th St, Ashland, CA 94578 Phone: 510-471-5880 |