Individual
SUSAN M. EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
EAST 115 BROADWAY, REARDAN, WA 99029-0629
(509) 796-2737
(509) 796-2738
Mailing address
100 3RD ST, SUITE 1, DAVENPORT, WA 99122-9730
(509) 725-7501
(509) 725-7504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00049615
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30000282
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142721
DEPT. OF L & I
WA
01
—
500023044
MEDICARE RAILROAD
WA
05
—
7101132
—
WA
05
—
7117450
—
WA
05
—
9600123
—
WA
01
—
CJ6525
MEDICARE RAILROAD
WA
Enumeration date
06/14/2006
Last updated
03/07/2023
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