Individual
MRS. CHRYSANTHE KEPAS EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-5300
Mailing address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-5300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66312
ID
Other
Enumeration date
11/16/2020
Last updated
02/16/2021
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