Individual
DIANA EASTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-FAMILY
Contact information
Practice address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 263-8915
(608) 265-5755
Mailing address
22741 SUNNYSIDE GULCH RD, SILVER CITY, SD 57702-6059
(608) 512-3855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
169519
WI
363LF0000X
Family Nurse Practitioner
Primary
CP002090
SD
Other
Enumeration date
06/23/2006
Last updated
08/26/2021
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