Provider Demographics
NPI:1336836386
Name:AGUILAR, ESTELA ESTELA (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ESTELA
Middle Name:ESTELA
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6812 EMERALD TREE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-7908
Mailing Address - Country:US
Mailing Address - Phone:702-885-6495
Mailing Address - Fax:
Practice Address - Street 1:701 N PECOS RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-2400
Practice Address - Country:US
Practice Address - Phone:702-455-3692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV866542363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care