Basic Information
| Provider Information | |||||||||
| NPI: | 1245258912 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEARCY | ||||||||
| FirstName: | EILEEN | ||||||||
| MiddleName: | BARBARA | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1850 SPRING RIDGE DR. | ||||||||
| Address2: | |||||||||
| City: | SUSANVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 96130 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5302515000 | ||||||||
| FaxNumber: | 5302573943 | ||||||||
| Practice Location | |||||||||
| Address1: | 209 BIRCH ST | ||||||||
| Address2: | |||||||||
| City: | WESTWOOD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 961370819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5302563152 | ||||||||
| FaxNumber: | 5302562061 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2006 | ||||||||
| LastUpdateDate: | 08/03/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA17827 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.