Provider Demographics
NPI:1700024395
Name:PLEVA, ESTHER LYDIA (RN)
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:LYDIA
Last Name:PLEVA
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 1:30 RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:PLATTEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53818-1214
Mailing Address - Country:US
Mailing Address - Phone:608-348-5940
Mailing Address - Fax:608-348-5940
Practice Address - Street 1:30 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:PLATTEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53818-1214
Practice Address - Country:US
Practice Address - Phone:608-348-5940
Practice Address - Fax:608-348-5940
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI111174-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse