Provider Demographics
NPI:1891785556
Name:EASTERDAY, JANET RUTH (RN, FNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:RUTH
Last Name:EASTERDAY
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:721 SNELLING AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-3332
Mailing Address - Country:US
Mailing Address - Phone:651-690-1311
Mailing Address - Fax:651-690-5274
Practice Address - Street 1:721 SNELLING AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-3332
Practice Address - Country:US
Practice Address - Phone:651-690-1311
Practice Address - Fax:651-690-5274
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN724289363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner