Provider Demographics
NPI:1366099764
Name:EICKMEYER, BRIANNA NICOLE FIRMINGER (ND)
Entity type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:NICOLE FIRMINGER
Last Name:EICKMEYER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:BRIANNA
Other - Middle Name:NICOLE
Other - Last Name:FIRMINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:17311 135TH AVE NE STE C800
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-4349
Mailing Address - Country:US
Mailing Address - Phone:425-802-8035
Mailing Address - Fax:
Practice Address - Street 1:2111 N NORTHGATE WAY STE 201
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9018
Practice Address - Country:US
Practice Address - Phone:425-802-8035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1366099764Medicaid