Individual provider · Type 1 NPI
Crystal Dawn Eastridge, RN, MSN, FNP-BC
Family Nurse Practitioner · Ashland, KY
NPI number
1174822357
Active
Practice location
613 23rd St Ste G20
Ashland, KY 41101-2884
Fax (606) 329-1768
Mailing address
PO Box 2379
Ashland, KY 41105-2379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 15709 (TN) |
| Family Nurse Practitioner Primary | 363LF0000X | 3006977 (KY) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1174822357
Crystal Dawn Eastridge, RN, MSN, FNP-BC's National Provider Identifier is 1174822357, issued on Mar 27, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ashland, KY. The record was last updated on Jul 7, 2011.