Provider Demographics
NPI:1760009211
Name:EASTBURN, HUNTER KATHERINE (PMHNP)
Entity Type:Individual
Prefix:MS
First Name:HUNTER
Middle Name:KATHERINE
Last Name:EASTBURN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 HEWES ST APT 29
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-6540
Mailing Address - Country:US
Mailing Address - Phone:917-865-1653
Mailing Address - Fax:
Practice Address - Street 1:362 HEWES ST APT 29
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-6540
Practice Address - Country:US
Practice Address - Phone:917-865-1653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-01
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY668814163W00000X
NY403112363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse