Healthcare Provider Details

I. General information

NPI: 1952350563
Provider Name (Legal Business Name): DANIEL E ESLINGER PMHNP/ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 02/23/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 E ROSE ST STE E
WALLA WALLA WA
99362-5009
US

IV. Provider business mailing address

54251 HIGHWAY 332
MILTON FREEWATER OR
97862-7651
US

V. Phone/Fax

Practice location:
  • Phone: 541-215-1717
  • Fax: 541-215-1718
Mailing address:
  • Phone: 541-215-1717
  • Fax: 541-938-3760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number081001194N6
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP30003889
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: