Individual
STEPHANIE ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2832
(603) 740-2833
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2832
(603) 740-2833
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
053739-23
NH
363LF0000X
Family Nurse Practitioner
Primary
053739-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336452796
—
ME
05
—
50022303
—
NH
01
—
P00601126
RR MEDICARE
NH
Enumeration date
07/14/2010
Last updated
01/25/2018
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