Individual
STEPHANIE ANN EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Mailing address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
117358-6830
LA
363LF0000X
Family Nurse Practitioner
Primary
AP61456246
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2286156
—
WA
05
—
2323814
—
LA
Enumeration date
09/19/2012
Last updated
06/18/2024
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