Provider Demographics
NPI:1821260357
Name:ESTY, MICHELLE A
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:A
Last Name:ESTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 CIMARRON CT
Mailing Address - Street 2:
Mailing Address - City:POINCIANA
Mailing Address - State:FL
Mailing Address - Zip Code:34759-5954
Mailing Address - Country:US
Mailing Address - Phone:863-353-5764
Mailing Address - Fax:
Practice Address - Street 1:376 CIMARRON CT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-5954
Practice Address - Country:US
Practice Address - Phone:863-353-5764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230450251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health