Provider Demographics
NPI:1396564803
Name:VATAMANIUC, ESTERA ELIZABETH (FNP-BC)
Entity type:Individual
Prefix:
First Name:ESTERA
Middle Name:ELIZABETH
Last Name:VATAMANIUC
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1832 THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-2129
Mailing Address - Country:US
Mailing Address - Phone:773-355-7018
Mailing Address - Fax:
Practice Address - Street 1:1832 THOMAS ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-2129
Practice Address - Country:US
Practice Address - Phone:773-355-7018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2024062954363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care