Individual
CONSTANCE DIANE EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
5685
TN
367A00000X
Advanced Practice Midwife
Primary
APN001032
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841225901
MEDICARE
NV
05
—
1841225901
—
NV
01
—
339971
AHCCCS
AZ
Enumeration date
07/11/2006
Last updated
06/24/2008
Update your record
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