Provider Demographics
NPI:1376553347
Name:EASTERWOOD, KATHERINE A (RN MSN CNS CCRC)
Entity Type:Individual
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First Name:KATHERINE
Middle Name:A
Last Name:EASTERWOOD
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Gender:F
Credentials:RN MSN CNS CCRC
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Mailing Address - Street 1:2301 S CLEAR CREEK RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549
Mailing Address - Country:US
Mailing Address - Phone:254-628-5454
Mailing Address - Fax:254-628-2729
Practice Address - Street 1:2301 S CLEAR CREEK RD
Practice Address - Street 2:SUITE 206
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549
Practice Address - Country:US
Practice Address - Phone:254-628-5454
Practice Address - Fax:254-628-2729
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
TX248913364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXY0141733OtherDPS
TX248913OtherBOARD OF NURSE EXAMINERS
TXME1369025OtherDEA