Doctor Name: | TANISHA ESTERS |
NPI Number: | 1588077515 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AP07643 |
Business Practice Address: | 6450 La Hwy 1 Suite B Louisiana, LA - 707474700 |
Business Phone Number: | 2254923775 |
Business Fax Number: | 2254923782 |
Mailing Address: | 6450 La Highway 1, BATCHELOR |
State: | LA |
Postal Code: | 707153212 |
Phone Number: | 2254923775 |
Fax Number: | 2254923782 |
NPI Enumeration Date: | 06/06/2014 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP07643 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |