Maria A Eastman, CRNP MSN NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

VP005672B Issued in PA

Practice address

575 N River St
Wilkes Barre, PA 18764-0999

Phone

(570) 552-7260

Fax

(570) 552-7268

NPI assigned

Dec 5, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physiciancare P.C.

  • Family Medicine Physician
  • Towanda, PA
  • NPI 1750361945
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1376788364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 280A",
            "city": "MESHOPPEN",
            "state": "PA",
            "postal_code": "186309293",
            "telephone_number": "570-833-5711",
            "fax_number": "570-833-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187640999",
            "telephone_number": "570-552-7260",
            "fax_number": "570-552-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CRNP MSN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP005672B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwaraki Bai Penugonda MD PC
• Patricia Dworak, OTR/L, ATP
• Jacquelyn A Dwyer, PHARM D
• Calvin J. Dysinger, M.D.
• Joseph Dzurishin
• Lida Eatedali, MD
• Alaleh Ebrahimi, DO
• Madelin Eck, PT
• Gerald Eckenrode, R.R.T.
• John Edmund Edwards, RPH, PHARMD

• Family Nurse Practitioner in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.