Provider Demographics
NPI:1154902948
Name:EASLAND, TRAILE PHYLLIS (RN)
Entity type:Individual
Prefix:
First Name:TRAILE
Middle Name:PHYLLIS
Last Name:EASLAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 BORTON DR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1838
Mailing Address - Country:US
Mailing Address - Phone:805-570-7770
Mailing Address - Fax:805-845-5772
Practice Address - Street 1:3970 LA COLINA RD STE 2
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-4502
Practice Address - Country:US
Practice Address - Phone:805-570-7770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA521328163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn