Provider Demographics
NPI:1124376785
Name:DUKES, ESTHER W
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:W
Last Name:DUKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 TIMBERLANE LANE NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-4442
Mailing Address - Country:US
Mailing Address - Phone:616-881-9118
Mailing Address - Fax:
Practice Address - Street 1:2706 BURTON SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-4927
Practice Address - Country:US
Practice Address - Phone:616-214-8366
Practice Address - Fax:616-214-8369
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide