Provider Demographics
NPI:1831983964
Name:ESTAPE, NATALIE MARICHAL (AGACNP- BC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARICHAL
Last Name:ESTAPE
Suffix:
Gender:F
Credentials:AGACNP- BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9774 NERUDA ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-4012
Mailing Address - Country:US
Mailing Address - Phone:305-282-0053
Mailing Address - Fax:
Practice Address - Street 1:9774 NERUDA ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-4012
Practice Address - Country:US
Practice Address - Phone:305-282-0053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038205363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care