Individual
MRS. BEVERLY ELAINE EASTWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
25 OWL AVENUE, MADISON ELEMENTARY SCHOOL, MASSENA, NY 13662
(315) 764-3740
(315) 764-3743
Mailing address
84 NIGHTENGALE AVENUE, MASSENA CENTRAL SCHOOL DISTRICT, MASSENA, NY 13662
(315) 764-3740
(315) 764-3743
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
454904-1
NY
163WS0200X
School Registered Nurse
454904-1
NY
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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