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Individual

CONSTANCE DIANE EASTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2231 W CHARLESTON BLVD, 2ND FLOOR, LAS VEGAS, NV 89102-2254
(702) 383-2403
(702) 383-1837
Mailing address
1701 W CHARLESTON BLVD, #215, LAS VEGAS, NV 89102-2325
(702) 671-2395
(702) 382-5388

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
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