Provider Demographics
NPI:1346797479
Name:ESTEVEZ, NEHIDA
Entity Type:Individual
Prefix:
First Name:NEHIDA
Middle Name:
Last Name:ESTEVEZ
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 1:201 WILDCAT VLG
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84408-3132
Mailing Address - Country:US
Mailing Address - Phone:385-237-9330
Mailing Address - Fax:
Practice Address - Street 1:201 WILDCAT VLG
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84408
Practice Address - Country:US
Practice Address - Phone:385-237-9330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program