Provider Demographics
NPI:1821245929
Name:HESTER, ROSEANN (MSN, ACNS-BC, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ROSEANN
Middle Name:
Last Name:HESTER
Suffix:
Gender:F
Credentials:MSN, ACNS-BC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 CEDARHILL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-7308
Mailing Address - Country:US
Mailing Address - Phone:325-944-0031
Mailing Address - Fax:
Practice Address - Street 1:ANGELO STATE UNIVERSITY CLINIC
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76909-0001
Practice Address - Country:US
Practice Address - Phone:325-942-2171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX453694364SA2200X
TXAP110705363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health