Provider Demographics
NPI:1013542158
Name:ESENE, LLOYD EHIGIE (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:EHIGIE
Last Name:ESENE
Suffix:
Gender:M
Credentials:PMHNP-BC
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 3046
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-0746
Mailing Address - Country:US
Mailing Address - Phone:806-354-1810
Mailing Address - Fax:806-354-1852
Practice Address - Street 1:7201 EVANS ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1707
Practice Address - Country:US
Practice Address - Phone:806-354-1810
Practice Address - Fax:806-354-1852
Is Sole Proprietor?:No
Enumeration Date:2020-03-09
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800894363LP0808X
TXAP145774363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1B1722OtherMEDICARE
OK200906690AMedicaid