Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dianna Eastlick, CANP

Individual provider Adult Health Nurse Practitioner · NPI 1356595466

Dianna Eastlick, CANP is a Nurse Practitioner in St Louis Park, Minnesota. Qualified in 2008, 18 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2008

Practice location Address checks out

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-6600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2008005175 (MN)

Record details

NPI number1356595466
Entity typeIndividual (Type 1)
GenderFemale
Credentials CANP
Sole proprietorNo
NPI enumeratedNovember 17, 2008
Last updated in NPPESNovember 17, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in St Louis Park