Provider Demographics
NPI:1518658087
Name:EASTER, CATHY RENEE
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:RENEE
Last Name:EASTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 STONE ST
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25271-1162
Mailing Address - Country:US
Mailing Address - Phone:304-372-7590
Mailing Address - Fax:304-372-7594
Practice Address - Street 1:208 STONE ST
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:WV
Practice Address - Zip Code:25271-1162
Practice Address - Country:US
Practice Address - Phone:304-372-7590
Practice Address - Fax:304-372-7594
Is Sole Proprietor?:No
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV69664163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health