Individual
MICHELLE L EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
100 PARK ST, PEDIATRIC HOSPITALIST PROGRAM OF GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801-4413
(518) 926-5925
(518) 926-5917
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALNG, GLENS FALLS, NY 12801-4413
(518) 926-6992
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
350207
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03767333
—
NY
Enumeration date
10/17/2006
Last updated
06/07/2022
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