Provider Demographics
NPI:1760957955
Name:EASTER, WILLIAM M (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
Last Name:EASTER
Suffix:
Gender:M
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2851 CHARLESTON RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:POCA
Mailing Address - State:WV
Mailing Address - Zip Code:25159
Mailing Address - Country:US
Mailing Address - Phone:304-351-3015
Mailing Address - Fax:304-351-2970
Practice Address - Street 1:2851 CHARLESTON RD
Practice Address - Street 2:SUITE 2
Practice Address - City:POCA
Practice Address - State:WV
Practice Address - Zip Code:25159
Practice Address - Country:US
Practice Address - Phone:304-351-3015
Practice Address - Fax:304-351-2970
Is Sole Proprietor?:No
Enumeration Date:2018-10-04
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN53514-FNP-BC363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily