Provider Demographics
NPI:1891324893
Name:OCHENGE, ESTHER NYATICHI
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:NYATICHI
Last Name:OCHENGE
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 1:7135 SNOWDEN RD APT A210
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-4793
Mailing Address - Country:US
Mailing Address - Phone:210-966-5638
Mailing Address - Fax:
Practice Address - Street 1:7135 SNOWDEN RD APT A210
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-4793
Practice Address - Country:US
Practice Address - Phone:210-966-5638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX353025164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse