Provider Demographics
NPI:1467694349
Name:ESTEP, PIPER SHIELDS (PA)
Entity Type:Individual
Prefix:
First Name:PIPER
Middle Name:SHIELDS
Last Name:ESTEP
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7414 PICARDY AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4696
Mailing Address - Country:US
Mailing Address - Phone:225-303-9500
Mailing Address - Fax:225-303-9501
Practice Address - Street 1:7414 PICARDY AVE
Practice Address - Street 2:SUITE C
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4696
Practice Address - Country:US
Practice Address - Phone:225-303-9500
Practice Address - Fax:225-303-9501
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPA.200190363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical