Wendy Lynn Easton is a Family in Shelby Twp, Michigan. Wendy Lynn Easton practices all healthcare services and medical treatments related to Family. The NPI Number for Wendy Lynn Easton is 1447364906. The last update date is 2019-11-05.
Wendy Lynn Easton's current location address is 2115 Twenty-five Mile Rd, Shelby Twp, Michigan. You can contact this provider via phone number 8107901615. The mailing address for Wendy Lynn Easton is 2115 Twenty-five Mile Rd, Shelby Twp, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy Lynn Easton |
|---|---|
| Address | 2115 Twenty-five Mile Rd, Shelby Twp, Michigan |
| Phone Number | 8107901615 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1447364906 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2019-11-05 |
Provider Mailing Address Detail
| Address | 2115 Twenty-five Mile Rd |
|---|---|
| City | Shelby Twp |
| State | Michigan (MI) |
| Post Code | 48316 |
| Phone Number | 8107901615 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 4704112593 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10-5198292 | MI | -- | |
| 11-4976623 | MI | -- | |
| 10-5198318 | MI | -- | |
| 11712518 | CAQH | ||
| 10-4827712 | MI | -- |
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What is the Wendy Lynn Easton's 1447364906?
The Wendy Lynn Easton's NPI (National Provider Identifier) Number is 1447364906. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Wendy Lynn Easton located?
The Wendy Lynn Easton is located at 2115 Twenty-Five Mile Rd, Shelby Twp, MI 48316.
What is the Wendy Lynn Easton's specialty and taxonomy code?
The Wendy Lynn Easton's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
When was the Wendy Lynn Easton's 1447364906 issued?
The Wendy Lynn Easton's 1447364906 was issued on 2006-08-19.
When was the Wendy Lynn Easton's information last updated?
The Wendy Lynn Easton's information was last updated on 2019-11-05.