Provider Demographics
NPI:1144418377
Name:CEDILLO, ESTELA (DNP,RN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ESTELA
Middle Name:
Last Name:CEDILLO
Suffix:
Gender:F
Credentials:DNP,RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 S M ST STE 3
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1556
Mailing Address - Country:US
Mailing Address - Phone:956-992-0660
Mailing Address - Fax:956-278-8128
Practice Address - Street 1:2108 S M ST STE 3
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1556
Practice Address - Country:US
Practice Address - Phone:956-992-0660
Practice Address - Fax:956-278-8128
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2016-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX665401363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX807N22OtherBCBS TX
TX206729001Medicaid
TX8L20339Medicare PIN