Provider Demographics
NPI:1245885516
Name:EASTLAND, EMILY MEG (CAA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MEG
Last Name:EASTLAND
Suffix:
Gender:F
Credentials:CAA
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:ELENTENY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1225 11TH ST NW UNIT 5
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-5836
Mailing Address - Country:US
Mailing Address - Phone:404-906-1414
Mailing Address - Fax:
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:201-877-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant