National Provider Identifier

Chanelle Eastman

Chanelle Eastman is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (607) 333-4033.

NPI 1114462850Elmira, NYLicensed Practical Nurse

Profile Overview

NPI
1114462850
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 05, 2017
Last Updated
January 05, 2017

Practice Location

  • 924 Lackawanna Ave
  • Elmira, NY 14901-1525

Phone: (607) 333-4033

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1114462850
Entity Type
Individual
Last Name
Eastman
First Name
Chanelle
Name Prefix
Miss
Mailing Street Address
924 Lackawanna Ave
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-1525
Mailing Country
US
Mailing Phone
(607) 333-4033
Practice Street Address
924 Lackawanna Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-1525
Practice Country
US
Practice Phone
(607) 333-4033
Enumeration Date
January 05, 2017
Last Updated
January 05, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)