Provider Demographics
NPI:1851126460
Name:ESTAEL, NAROMIE
Entity type:Individual
Prefix:
First Name:NAROMIE
Middle Name:
Last Name:ESTAEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 892
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27588-0892
Mailing Address - Country:US
Mailing Address - Phone:239-350-8491
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 892
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27588-0892
Practice Address - Country:US
Practice Address - Phone:239-350-8491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC309952163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse