MEDICARE: MRS. STEPHANIE E. EASTEK CNP

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
1	363LA2200X	Adult Health Nurse Practitioner	A1007323	OH

General Provider Information

NPI Number	:	1023276326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE E. EASTEK CNP

Provider Business Mailing Address
First Line	:	560 GYPSY LN
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44505-2144
Country	:	US
Telephone Number	:	330-759-0717
Fax Number	:	330-759-0891

Provider Business Practice Location Address
First Line	:	132 N MARKET ST
Second Line	:
City	:	EAST PALESTINE
State	:	OH
Zip	:	44413-2019
Country	:	US
Telephone Number	:	330-426-9484
Fax Number	:	330-426-2248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2008
Last Update Date	:	10/30/2024

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