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NPI Code Detail

MEDICARE: CHERYL D. EASTMAN FNP

MEDICARE: CHERYL D. EASTMAN FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse68384-030WI
2363LF0000XFamily Nurse Practitioner2909-033WI

General Provider Information

NPI Number : 1801982921
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL D. EASTMAN FNP
Provider Business Mailing Address
First Line : S2845 WHITE EAGLE RD
Second Line :
City : BARABOO
State : WI
Zip : 53913-9064
Country : US
Telephone Number : 608-355-1240
Fax Number : 608-355-0205
Provider Business Practice Location Address
First Line : S2845 WHITE EAGLE RD
Second Line :
City : BARABOO
State : WI
Zip : 53913-9064
Country : US
Telephone Number : 608-355-1240
Fax Number : 608-355-0205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 09/11/2025

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