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NPI Profile for SHELLY R EASTRIDGE in FOREMAN, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1790344166 |
|
| Status | Active | |
| Credentials | APRN-CNP | |
| Entity | Individual | |
| Enumeration date | 06/10/2019 | |
| Last updated | 04/17/2026 - About 2 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHELLY R EASTRIDGE
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SHELLY R EASTRIDGE, APRN-CNP