Individual provider · Type 1 NPI
Etta H. Eckerstrom, NP
Psychiatric/Mental Health Nurse Practitioner · Indianapolis, IN
NPI number
1922745009
Active
Practice location
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice locations
- 355 W 16th St Ste 2800, Indianapolis, IN 46202-2279 · (317) 963-7300
- 400 W Campus Dr, Orange, CT 06477-3646 · (203) 785-2389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 28274003A (IN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71012784A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1922745009
Etta H. Eckerstrom, NP's National Provider Identifier is 1922745009, issued on May 19, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 8, 2022.