Provider Demographics
NPI:1114070067
Name:KING, ESTHER DIANN (RN)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:DIANN
Last Name:KING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:DIANN
Other - Last Name:FERGUSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:CARL R. DARNELL ARMY MEDICAL CENTER
Mailing Address - Street 2:3600 DARNELL LOOP
Mailing Address - City:FT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:254-286-7197
Mailing Address - Fax:254-288-7390
Practice Address - Street 1:CARL R. DARNELL ARMY MEDICAL CENTER
Practice Address - Street 2:3600 DARNELL LOOP
Practice Address - City:FT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-286-7197
Practice Address - Fax:254-288-7390
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR748492163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management