Provider Demographics
NPI:1710874797
Name:ESAN, SIKEMI (APRN, CNM)
Entity type:Individual
Prefix:
First Name:SIKEMI
Middle Name:
Last Name:ESAN
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5704 GRASSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-5021
Mailing Address - Country:US
Mailing Address - Phone:432-599-4293
Mailing Address - Fax:
Practice Address - Street 1:5704 GRASSLAND BLVD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-5021
Practice Address - Country:US
Practice Address - Phone:432-599-4293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1036498367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife