Provider Demographics
NPI:1922736495
Name:ESTACIO, MARIA RHONA TEJADA (FNP-C)
Entity Type:Individual
Prefix:
First Name:MARIA RHONA
Middle Name:TEJADA
Last Name:ESTACIO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:RHONA
Other - Middle Name:TEJADA
Other - Last Name:ESTACIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:920 E HIGH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-4850
Mailing Address - Country:US
Mailing Address - Phone:540-346-6288
Mailing Address - Fax:
Practice Address - Street 1:920 E HIGH ST STE 102
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4850
Practice Address - Country:US
Practice Address - Phone:540-346-6288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024184834363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily