Provider Demographics
NPI:1659658565
Name:PERSHING, ESTHER SUSAN (RN BSN CDE)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:SUSAN
Last Name:PERSHING
Suffix:
Gender:F
Credentials:RN BSN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17956 E BAILS PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-5323
Mailing Address - Country:US
Mailing Address - Phone:720-297-6385
Mailing Address - Fax:866-853-2708
Practice Address - Street 1:17956 E BAILS PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-5323
Practice Address - Country:US
Practice Address - Phone:720-297-6385
Practice Address - Fax:866-853-2708
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-05
Last Update Date:2011-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN124349163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator