MR. JOSEPH MICHAEL EASTRIDGE NP-C NPI 1518270644

NPI Information

NPI: 1518270644
Provider Name: MR. JOSEPH MICHAEL EASTRIDGE, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2101 FM 369 N
IOWA PARK, TX
ZIP 76367
Phone: (940) 855-7477
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MR. Joseph Michael Eastridge, NP-C is a family nurse practitioner in Iowa Park, TX with 15 years of experience. MR. Joseph Michael Eastridge, NP-C NPI is 1518270644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2101 FM 369 N
IOWA PARK, TX
ZIP 76367-568
Phone: (940) 855-7477

The NPI 1518270644 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2010 and was last updated on 7/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	687520	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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