Provider Demographics
NPI:1841587987
Name:ESAU, CARA L (APRN-NP)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:L
Last Name:ESAU
Suffix:
Gender:F
Credentials:APRN-NP
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:L
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-NP
Mailing Address - Street 1:1110 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-2039
Mailing Address - Country:US
Mailing Address - Phone:402-228-3344
Mailing Address - Fax:402-223-7213
Practice Address - Street 1:1110 N 10TH ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-2039
Practice Address - Country:US
Practice Address - Phone:402-228-3344
Practice Address - Fax:402-223-7213
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111286363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE111286OtherSTATE OF NEBRASKA APRN-NP LICENSE