Individual
ANITA LARAE EASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
EAST HIGHWAY 18, PINE RIDGE IHS, PINE RIDGE, SD 57770
(605) 867-3068
Mailing address
600 E 3RD ST, GORDON, NE 69343-1402
(308) 282-1475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
59899
NE
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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