Provider Demographics
NPI:1225924681
Name:CARRASCO, ESTEFANY (NP)
Entity type:Individual
Prefix:
First Name:ESTEFANY
Middle Name:
Last Name:CARRASCO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 NE 9TH TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-1503
Mailing Address - Country:US
Mailing Address - Phone:407-738-0040
Mailing Address - Fax:
Practice Address - Street 1:1102 NE 9TH TER
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-1503
Practice Address - Country:US
Practice Address - Phone:407-738-0040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program