Provider Demographics
NPI:1730498213
Name:SEOANES, ESTHER MYRIAM (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:MYRIAM
Last Name:SEOANES
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 LUNAR DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5625
Mailing Address - Country:US
Mailing Address - Phone:512-351-0289
Mailing Address - Fax:
Practice Address - Street 1:6801 LUNAR DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5625
Practice Address - Country:US
Practice Address - Phone:512-215-2060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX698421363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care