Provider Demographics
NPI:1922142181
Name:ASHU, ESTHER TANYI (PMHNP,DNP, FNP, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:TANYI
Last Name:ASHU
Suffix:
Gender:F
Credentials:PMHNP,DNP, FNP, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 N HAMPTON RD STE 105M
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2392
Mailing Address - Country:US
Mailing Address - Phone:972-228-6602
Mailing Address - Fax:722-286-6199
Practice Address - Street 1:1700 N HAMPTON RD STE 105
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2392
Practice Address - Country:US
Practice Address - Phone:972-228-6602
Practice Address - Fax:972-228-6619
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP124271363LP0808X, 363LP2300X, 363LF0000X, 363LP0808X, 363LP2300X, 363LF0000X, 363LP2300X, 363LP0808X
WAAP61256232363LP0808X
NMCNP-01933363LF0000X
KS53-75322-051363LF0000X
MO2011007019363LF0000X
OR202200102NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP124271OtherSTATE LICENSE
TX342658701Medicaid