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NPI Code Detail

MEDICARE: DUSTIN M STURM-EASTON NP

MEDICARE:   DUSTIN M STURM-EASTON  NP
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
1363LF0000XFamily Nurse Practitioner108120WV
2363LF0000XFamily Nurse PractitionerAPRN11020484FL
3363LF0000XFamily Nurse Practitioner0028204OH
4163W00000XRegistered Nurse410024OH
5163W00000XRegistered Nurse92471WV

General Provider Information

NPI Number : 1124617733
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUSTIN M STURM-EASTON NP
Provider Business Mailing Address
First Line : 1055 3RD ST
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117-4101
Country : US
Telephone Number : 386-252-3686
Fax Number :
Provider Business Practice Location Address
First Line : 1055 3RD ST
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117-4101
Country : US
Telephone Number : 386-252-3686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2021
Last Update Date : 12/05/2025

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