Doctor Name: | ROSEMARY J EASH |
NPI Number: | 1033300439 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 71000526A |
Business Practice Address: | 1627 E Bristol St Elkhart, IN - 465143817 |
Business Phone Number: | 5742620313 |
Business Fax Number: | 5742628163 |
Mailing Address: | 710 N Niles Ave, SOUTH BEND |
State: | IN |
Postal Code: | 466171924 |
Phone Number: | 5746471610 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71000526A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |