Talisa Esteves, BA
Individual provider Active NPI Contractor · Fitzgerald, GA
NPI 1982192993 · NPPES record last updated Apr 25, 2018
Key facts
- NPI
- 1982192993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 220 N Main St
Fitzgerald, GA 31750-2520 - Phone
- (229) 345-4207
- NPI assigned
- Apr 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
220 N Main St
Fitzgerald, GA 31750-2520
Mailing address
220 N Main St
Fitzgerald, GA 31750-2520
Phone (229) 345-4207
Other providers in Fitzgerald, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.