Andrea Easom is a Family in Little Rock, Arkansas. Andrea Easom practices all healthcare services and medical treatments related to Family. The NPI Number for Andrea Easom is 1720178205. The last update date is 2007-07-31.
Andrea Easom's current location address is 4301 W Markham St # 783, Little Rock, Arkansas. You can contact this provider via phone number 5016868000. The mailing address for Andrea Easom is 4301 W Markham St # 783, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Easom |
|---|---|
| Address | 4301 W Markham St # 783, Little Rock, Arkansas |
| Phone Number | 5016868000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1720178205 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-31 |
Provider Mailing Address Detail
| Address | 4301 W Markham St # 783 |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722057101 |
| Phone Number | 5016868000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AO1163 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 132867758 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Andrea Easom by the Centers for Medicare & Medicaid Services (CMS)?
The Andrea Easom has been assigned the NPI (National Provider Identifier) 1720178205. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Andrea Easom's physical address?
The Andrea Easom is physically located at 4301 W Markham St # 783, in the city of Little Rock, AR, with the postal code 722057101.
What is Andrea Easom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Andrea Easom's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
When was the Andrea Easom's 1720178205 issued?
The Andrea Easom's 1720178205 was issued on 2006-10-13.
When was the Andrea Easom's information last updated?
The Andrea Easom's information was last updated on 2007-07-31.