Individual
NICHOLE A JOSLYN EASTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 788-5209
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1887
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
21060
NV
2086S0122X
Plastic and Reconstructive Surgery Physician
21060
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15081606
CAQH
—
05
—
1902223167
—
NV
Enumeration date
03/26/2014
Last updated
12/20/2021
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