Eastridge, Diana

Eastridge, Diana is an individual health care provider with primary practice located at 451 Junction Rd , Madison WI 53717-2656. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Eastridge, Diana can be contacted via phone (608) 263-8915.

Contact Information

Primary practice address
451 Junction Rd Madison WI 53717-2656
Phone: (608) 263-8915
Fax: (608) 265-5755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 169519 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP002090 South Dakota

Profile Details

NPI number 1477589497
LBN Legal business name Eastridge, Diana
Credentials NP-FAMILY
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Aug 26th, 2021 - about 3 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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