Provider Demographics
NPI:1073247938
Name:ESTEP, BRIETTA ROSE (APRN)
Entity Type:Individual
Prefix:
First Name:BRIETTA
Middle Name:ROSE
Last Name:ESTEP
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:115 LEE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-2047
Mailing Address - Country:US
Mailing Address - Phone:606-727-5296
Mailing Address - Fax:606-727-5297
Practice Address - Street 1:115 LEE AVE STE 101
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-2047
Practice Address - Country:US
Practice Address - Phone:606-727-5296
Practice Address - Fax:606-727-5297
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN32015363L00000X
KY1158883363L00000X
VA0024184534363LF0000X
TN261156363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner