Provider Demographics
NPI:1205181229
Name:ESTIME, WIENELMINE (NP)
Entity Type:Individual
Prefix:MS
First Name:WIENELMINE
Middle Name:
Last Name:ESTIME
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6908 TALKEETNA CT SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-9480
Mailing Address - Country:US
Mailing Address - Phone:404-346-0400
Mailing Address - Fax:
Practice Address - Street 1:315 BLVD. N.E., #528
Practice Address - Street 2:AMC/ PROFESSIONAL BUILDINGS
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312
Practice Address - Country:US
Practice Address - Phone:404-748-9006
Practice Address - Fax:404-525-0595
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN178611363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health