Doctor Name: | MONA ESTES |
NPI Number: | 1114197654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0024055680 |
Business Practice Address: | 1507 N Road St Ste 2 Elizabeth City, NC - 279093283 |
Business Phone Number: | 2523331149 |
Business Fax Number: | 2523386503 |
Mailing Address: | 1507 N Road St Ste 2, ELIZABETH CITY |
State: | NC |
Postal Code: | 279093283 |
Phone Number: | 2523331149 |
Fax Number: | 7573386503 |
NPI Enumeration Date: | 03/11/2008 |
NPI Last Update Date: | 03/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024055680 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |