Eastman, Diane
Eastman, Diane is an individual health care provider with primary practice located at Rt. 6 Town Plaza Suite 2, Tunkhannock PA 18657. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Eastman, Diane can be contacted via phone (570) 836-4294.Contact Information
Primary practice address
Rt. 6 Town Plaza Suite 2
Tunkhannock PA 18657
Phone: (570) 836-4294
Fax: (570) 836-7709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP008339 | Pennsylvania |
Profile Details
| NPI number | 1689633356 |
|---|---|
| LBN Legal business name | Eastman, Diane |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jun 22nd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689633356 | NPPES |
| Pennsylvania | MEDICAID | 02679252 | |
| Pennsylvania | Other | P00362289 | |
| Pennsylvania | Other | CC9269 | |
| Pennsylvania | Other | GU039862 |
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