ELISE EASTBURN

FLAGSTAFF, AZ
NPI1699961557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP1896)
Enumeration Date2007-09-24
Last Update Date2007-09-24
Business Address
-- ELISE EASTBURN N.P.
809 W RIORDAN RD STE 100 #273
FLAGSTAFF, AZ 86001-0801
Phone number: 928-607-7822
Mailing Address
-- ELISE EASTBURN N.P.
809 W RIORDAN RD STE 100 #273
FLAGSTAFF, AZ 86001-0801
Phone number: 928-607-7822
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