Individual
SANDRA L ESTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
ROUTE 103 SUPPLY STREET, GARY, WV 24836
(304) 448-2101
(304) 448-3217
Mailing address
HC 60 BOX 355, IAEGER, WV 24844-9428
(304) 938-5283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
341349-22
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001713997
BCBS
WV
05
—
3810004477
—
WV
01
—
P00171749
MEDICARE RAILROAD
WV
Enumeration date
10/18/2006
Last updated
09/14/2010
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