Individual provider · Type 1 NPI
Diana Eastridge, NP-FAMILY
Family Nurse Practitioner · Madison, WI
NPI number
1477589497
Active
Practice location
451 Junction Rd
Madison, WI 53717-2656
Fax (608) 265-5755
Mailing address
22741 Sunnyside Gulch Rd
Silver City, SD 57702-6059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 169519 (WI) |
| Family Nurse Practitioner Primary | 363LF0000X | CP002090 (SD) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Madison
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About NPI 1477589497
Diana Eastridge, NP-FAMILY's National Provider Identifier is 1477589497, issued on Jun 23, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Madison, WI. The record was last updated on Aug 26, 2021.