Easton, Wendy Lynn

Easton, Wendy Lynn is an individual health care provider with primary practice located at 46960 Van Dyke Ave , Shelby Twp MI 48317-4378. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Easton, Wendy Lynn can be contacted via phone (586) 726-9220.

Contact Information

Primary practice address
46960 Van Dyke Ave Shelby Twp MI 48317-4378
Phone: (586) 726-9220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704112593 Michigan

Profile Details

NPI number 1447364906
LBN Legal business name Easton, Wendy Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Nov 5th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447364906 NPPES
Michigan MEDICAID 10-5198292
Michigan MEDICAID 11-4976623
Michigan MEDICAID 10-5198318
Michigan Other 11712518
Michigan MEDICAID 10-4827712

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