Individual
TAMMY EASTERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1968 VIA CTR STE 200, VISTA, CA 92081-6056
(760) 979-0398
(866) 622-6045
Mailing address
1968 VIA CTR STE 200, VISTA, CA 92081-6056
(866) 622-6045
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
95086891
CA
363LF0000X
Family Nurse Practitioner
95026516
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
329136
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95026516
CA
Other
Enumeration date
08/29/2023
Last updated
11/09/2025
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