Individual provider · Type 1 NPI
Shelly Rae Eastridge, APRN-CNP
Family Nurse Practitioner · Foreman, AR
NPI number
1790344166
Active
Practice location
108 South Madden
Foreman, AR 71836
Fax (870) 584-3003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 120295 (AR) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Foreman
About NPI 1790344166
Shelly Rae Eastridge, APRN-CNP's National Provider Identifier is 1790344166, issued on Jun 10, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Foreman, AR. The record was last updated on Apr 17, 2026.