Individual provider · NPI-1

Elizabeth Mason Eastman, PNP

Nurse Practitioner, Pediatrics · Apo, AE

NPI number1902168867
StatusActive
Last updated in NPPESJun 15, 2012

Details

NPI
1902168867
Entity type
Individual (NPI-1)
Name
Elizabeth Mason Eastman
Credential
PNP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 15, 2012
Last updated
Jun 15, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics0024166200VAYes

Practice location

Landstuhl Regional Medical Center
Cmr 402
Apo, AE 09180-3310

Phone 01149637194645301

Mailing address

Landstuhl Regional Medical Center
Cmr 402
Apo, AE 09180-3310

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