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Dianna Eastlick, CANP
Adult Health Nurse Practitioner in St Louis Park, Minnesota
NPI 1356595466

Dianna Eastlick is an Adult Health Nurse Practitioner based in Maple Grove, MN and is specialized in Adult Health. Dianna Eastlick practices in St Louis Park, MN and has the professional credentials of CANP. The NPI Number for Dianna Eastlick is 1356595466 and holds a License No. 2008005175 (Minnesota).

The current practice location address for Dianna Eastlick is 6500 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 952-993-6600.

Location: 6500 Excelsior Blvd, St Louis Park, MN, 55369-3471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356595466
Provider Name
Dianna Eastlick
Credential
CANP
Provider Entity Type
Individual
Gender
Female
Address
6500 Excelsior Blvd, St Louis Park, MN, 55369-3471
Phone Number
952-993-6600
Fax Number
Provider Enumeration Date
11/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
952-993-6600
Fax Number
person
Provider Business Mailing Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
952-993-6600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
2008005175 (Minnesota)
Definition
Definition to come...
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