Individual
DANIELLE EASTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 NEIL AVE, COLUMBUS, OH 43210-1216
(614) 292-4041
Mailing address
1585 NEIL AVE, COLUMBUS, OH 43210-1216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.462991
OH
363LF0000X
Family Nurse Practitioner
Primary
95031086
CA
Other
Enumeration date
04/17/2024
Last updated
07/20/2024
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