Individual
AMANDA HERRICK ESTAPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
16065 LAMONTE DR, HAMMOND, LA 70403-1405
(985) 892-7070
(985) 892-7017
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP05167
LA
363L00000X
Nurse Practitioner
RN095442
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00687066
—
MS
05
—
1012131
—
LA
Enumeration date
05/29/2007
Last updated
05/22/2019
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