Provider Demographics
NPI:1801659255
Name:EASTWAY, DAWNETTE ROSHELL (MSN FNP-C)
Entity type:Individual
Prefix:
First Name:DAWNETTE
Middle Name:ROSHELL
Last Name:EASTWAY
Suffix:
Gender:F
Credentials:MSN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8872 PROFESSIONAL DR STE A
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-8482
Mailing Address - Country:US
Mailing Address - Phone:231-779-6260
Mailing Address - Fax:231-779-6264
Practice Address - Street 1:8872 PROFESSIONAL DR STE A
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-8482
Practice Address - Country:US
Practice Address - Phone:231-779-6260
Practice Address - Fax:231-779-6264
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIF01241339363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily