Doctor Name: | MS. CARMELITA RUTH ESTENSON |
NPI Number: | 1073880563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN, PHN, LCCE |
License Number: | 060469 |
Business Practice Address: | 200 West Hospital Drive Whiteriver, AZ - 85941 |
Business Phone Number: | 9283384911 |
Business Fax Number: | 9283383681 |
Mailing Address: | Po Box 860, WHITERIVER |
State: | AZ |
Postal Code: | 859410860 |
Phone Number: | 9283384911 |
Fax Number: | 9283383681 |
NPI Enumeration Date: | 11/28/2011 |
NPI Last Update Date: | 11/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 060469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |