Individual
STEPHANIE EASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2601 ELECTRIC AVE, PORT HURON, MI 48060-6587
(810) 216-1500
Mailing address
1111 BROAD AX LN, KIMBALL, MI 48074-3233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704342624
MI
363LF0000X
Family Nurse Practitioner
Primary
4704342624
MI
Other
Enumeration date
01/17/2025
Last updated
02/13/2025
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