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NPI Code Detail

MEDICARE: MRS. SANTANA LYN EASTMAN FNP

MEDICARE: MRS. SANTANA LYN 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
1363LF0000XFamily Nurse PractitionerCNP241079ME
2163W00000XRegistered NurseRN68338ME

General Provider Information

NPI Number : 1629762018
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SANTANA LYN EASTMAN FNP
Provider Business Mailing Address
First Line : 995 US ROUTE 212
Second Line :
City : MERRILL
State : ME
Zip : 04780-4101
Country : US
Telephone Number : 207-256-0705
Fax Number :
Provider Business Practice Location Address
First Line : 11 NORTH ST
Second Line :
City : PRESQUE ISLE
State : ME
Zip : 04769-2296
Country : US
Telephone Number : 833-547-1227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2023
Last Update Date : 01/27/2025

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