Individual
CARLY JO EASTWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP-BC
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 251-2700
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2024026
MN
Other
Enumeration date
05/24/2024
Last updated
06/12/2024
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