Estapa, Amanda Herrick

Estapa, Amanda Herrick is an sole proprietor health care provider with primary practice located at 16065 Lamonte Dr , Hammond LA 70403-1405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Estapa, Amanda Herrick can be contacted via phone (985) 892-7070.

Contact Information

Primary practice address
16065 Lamonte Dr Hammond LA 70403-1405
Phone: (985) 892-7070
Fax: (985) 892-7017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN095442 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP05167 Louisiana

Profile Details

NPI number 1457552424
LBN Legal business name Estapa, Amanda Herrick
Credentials ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2007
Last updated May 22nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457552424 NPPES
Louisiana MEDICAID 1012131
Louisiana MEDICAID 00687066

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