Individual provider · Type 1 NPI

Dianna Eastlick, CANP

Adult Health Nurse Practitioner · St. Louis Park, MN

NPI number 1356595466 Active

Practice location

6500 Excelsior Blvd
St. Louis Park, MN 55426-4702

Mailing address

10685 99th Pl N
Maple Grove, MN 55369-3471

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X2008005175 (MN)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1356595466

Dianna Eastlick, CANP's National Provider Identifier is 1356595466, issued on Nov 17, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis Park, MN. The record was last updated on Nov 17, 2008.