Provider Demographics
NPI:1881901544
Name:ESTES, AMY DENISE (CPNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:DENISE
Last Name:ESTES
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:DENISE
Other - Last Name:MICHAEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 18962
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4084
Mailing Address - Country:US
Mailing Address - Phone:800-566-5050
Mailing Address - Fax:
Practice Address - Street 1:3313 W AIRPORT FWY STE 3313
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-5937
Practice Address - Country:US
Practice Address - Phone:972-640-0005
Practice Address - Fax:459-660-3011
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP118529363LP0200X, 363LP0200X
TX666632363LP0200X, 363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX319202302Medicaid
TX305159YK2TMedicare PIN