Provider Demographics
NPI:1124685516
Name:MCCANT, ESTHER ROSE (BS, CLC)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:ROSE
Last Name:MCCANT
Suffix:
Gender:F
Credentials:BS, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15744 NE 11TH CT
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-5322
Mailing Address - Country:US
Mailing Address - Phone:786-553-3122
Mailing Address - Fax:
Practice Address - Street 1:15744 NE 11TH CT
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-5322
Practice Address - Country:US
Practice Address - Phone:786-553-3122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM253216867440OtherSTATE OF FLORIDA