Provider Demographics
NPI:1659797785
Name:HARRIGAL, ESTELLE (RN)
Entity Type:Individual
Prefix:
First Name:ESTELLE
Middle Name:
Last Name:HARRIGAL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 N PARK CIR
Mailing Address - Street 2:
Mailing Address - City:BROOKPARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142-3889
Mailing Address - Country:US
Mailing Address - Phone:440-202-1706
Mailing Address - Fax:
Practice Address - Street 1:2 N PARK CIR
Practice Address - Street 2:
Practice Address - City:BROOKPARK
Practice Address - State:OH
Practice Address - Zip Code:44142-3889
Practice Address - Country:US
Practice Address - Phone:440-202-1706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-13
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH394972163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse