Individual
MS. DIANE EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
RT. 6 TOWN PLAZA, SUITE 2, TUNKHANNOCK, PA 18657
(570) 836-4294
(570) 836-7709
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008339
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02679252
—
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039862
MEDICARE GROUP
PA
01
—
P00362289
RR MEDICARE PIN
PA
Enumeration date
03/21/2006
Last updated
06/22/2011
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