Provider Demographics
NPI:1255812186
Name:MACHARIA, ESTHER WANJIRU (LVN)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:WANJIRU
Last Name:MACHARIA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MS
Other - First Name:ESTHER
Other - Middle Name:WANJIRU
Other - Last Name:MACHARIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LVN
Mailing Address - Street 1:3930 ACCENT DR APT 2524
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7719
Mailing Address - Country:US
Mailing Address - Phone:214-682-4496
Mailing Address - Fax:
Practice Address - Street 1:3930 ACCENT DR APT 2524
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-7719
Practice Address - Country:US
Practice Address - Phone:214-682-4496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX303649164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse