Individual
MS. JOANN EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1917 S CRISMON RD, MESA, AZ 85209-6216
(480) 610-7100
Mailing address
1917 S CRISMON RD, MESA, AZ 85209-6216
(480) 610-7100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP60911805
AZ
363LF0000X
Family Nurse Practitioner
AP60911805
WA
363LF0000X
Family Nurse Practitioner
Primary
AP8759
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60911805
ADVANCED REGISTERED NURSE PRACTITIONER LICENSE
WA
01
—
AP8759
ADVANCED REGISTERED NURSE PRACTIONER
AZ
01
—
RN090351
REGISTERED NURSE
AZ
01
—
RN60896196
REGISTERED NURSE LICENSE
WA
Enumeration date
06/17/2016
Last updated
05/16/2024
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