Basic Information
Provider Information
NPI: 1720385784
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EYRICH
FirstName: BELINDA
MiddleName: ANN
NamePrefix: MS.
NameSuffix:  
Credential: LPN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 316 WINDMILL RD
Address2:  
City: SINKING SPRING
State: PA
PostalCode: 196081410
CountryCode: US
TelephoneNumber: 6106705337
FaxNumber: 6106191964
Practice Location
Address1: 2250 HICKORY RD STE 240
Address2:  
City: PLYMOUTH MEETING
State: PA
PostalCode: 194622225
CountryCode: US
TelephoneNumber: 6108341122
FaxNumber: 6108251604
Other Information
ProviderEnumerationDate: 02/26/2011
LastUpdateDate: 02/26/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
164W00000XPN083855LPAY Nursing Service ProvidersLicensed Practical Nurse 

No ID Information.


Home