Provider Demographics
NPI:1669858072
Name:ESTEP, JOSHUA (BSN, RN)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:ESTEP
Suffix:
Gender:M
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:VIROQUA
Mailing Address - State:WI
Mailing Address - Zip Code:54665-1730
Mailing Address - Country:US
Mailing Address - Phone:847-532-3641
Mailing Address - Fax:
Practice Address - Street 1:525 E JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:VIROQUA
Practice Address - State:WI
Practice Address - Zip Code:54665-1730
Practice Address - Country:US
Practice Address - Phone:847-532-3641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI198245-30163W00000X, 163WC1500X, 163WH0200X, 163WN1003X, 163WP0808X, 163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WX0106XNursing Service ProvidersRegistered NurseOccupational Health