Provider Demographics
NPI:1134962053
Name:EASTON PSYCHIATRY PLLC
Entity type:Organization
Organization Name:EASTON PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KADAN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:610-723-8126
Mailing Address - Street 1:PO BOX 4703
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18043-4703
Mailing Address - Country:US
Mailing Address - Phone:610-723-8126
Mailing Address - Fax:610-273-5860
Practice Address - Street 1:15 CENTRE SQ
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3607
Practice Address - Country:US
Practice Address - Phone:610-723-8126
Practice Address - Fax:610-273-5860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty