Provider Demographics
NPI:1427246578
Name:ESTEPA, CHRISTINE T (APRN)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:T
Last Name:ESTEPA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:98 E LAKE MEAD PKWY STE 307
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-6444
Mailing Address - Country:US
Mailing Address - Phone:702-483-2969
Mailing Address - Fax:702-761-2339
Practice Address - Street 1:98 E LAKE MEAD PKWY STE 307
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-6444
Practice Address - Country:US
Practice Address - Phone:702-483-2969
Practice Address - Fax:702-761-2339
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPRN000961208000000X, 207Q00000X
NVAPN000961363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics