Provider Demographics
NPI:1487548137
Name:EASTER, SHANA (CHW)
Entity type:Individual
Prefix:
First Name:SHANA
Middle Name:
Last Name:EASTER
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 S WESTNEDGE AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-1947
Mailing Address - Country:US
Mailing Address - Phone:269-341-1741
Mailing Address - Fax:
Practice Address - Street 1:353 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-3844
Practice Address - Country:US
Practice Address - Phone:269-360-1214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker