Provider Demographics
NPI:1710304316
Name:BAGE, ESTHER LENE (CNS)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:LENE
Last Name:BAGE
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 YELLOW PINE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-4672
Mailing Address - Country:US
Mailing Address - Phone:614-352-5435
Mailing Address - Fax:
Practice Address - Street 1:2226 YELLOW PINE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-4672
Practice Address - Country:US
Practice Address - Phone:614-352-5435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-21
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 15474 NS364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care