Individual
PATRICIA ANN EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1801 N SENATE BLVD, STE 4000, INDIANAPOLIS, IN 46202-1228
(317) 962-0527
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28182348A
IN
363L00000X
Nurse Practitioner
71006363A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006363A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201392650
—
IN
01
—
264910123
MEDICARE PTAN
IN
01
—
266430756
MEDICARE PTAN
IN
01
—
Q00008550
RAILROAD PTAN
IN
Enumeration date
02/03/2016
Last updated
11/06/2023
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