Provider Demographics
NPI:1457855280
Name:UTOMI, ESTHER JOSEPHINE (NP-C)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:JOSEPHINE
Last Name:UTOMI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:J
Other - Last Name:IMHONDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3902 W TEAL ESTATES CIR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-9674
Mailing Address - Country:US
Mailing Address - Phone:832-289-5740
Mailing Address - Fax:
Practice Address - Street 1:3902 W TEAL ESTATES CIR
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-9674
Practice Address - Country:US
Practice Address - Phone:832-289-5740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136966363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care