Individual
INGRID ESTEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2929 21ST AVE S APT 301, MINNEAPOLIS, MN 55407-4515
(320) 250-3019
Mailing address
148 TIMBER CT, WOOD DALE, IL 60191-1356
(877) 219-6822
(877) 219-6822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041461373
IL
363LA2100X
Acute Care Nurse Practitioner
CNP 4517
MN
363LA2200X
Adult Health Nurse Practitioner
CNP 4517
MN
363LG0600X
Gerontology Nurse Practitioner
CNP 4517
MN
Other
Enumeration date
09/05/2016
Last updated
04/24/2019
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