Individual
MEREDITH N EASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1514 DOCTORS DR, BOSSIER CITY, LA 71111-3379
(318) 549-2500
Mailing address
5338 BRIAN CIR, BOSSIER CITY, LA 71112-4801
(405) 227-4576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN142286
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP09230
LA
363LP0200X
Pediatric Nurse Practitioner
AP131336
TX
Other
Enumeration date
04/25/2016
Last updated
03/17/2018
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