Provider Demographics
NPI:1194430611
Name:ESTANTE, NOELLE (FNP-C)
Entity type:Individual
Prefix:
First Name:NOELLE
Middle Name:
Last Name:ESTANTE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13150 SENLAC DR STE 160
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-1241
Mailing Address - Country:US
Mailing Address - Phone:414-254-1862
Mailing Address - Fax:
Practice Address - Street 1:13150 SENLAC DR STE 160
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-1241
Practice Address - Country:US
Practice Address - Phone:414-254-1862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1089536363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily