Basic Information
| Provider Information | |||||||||
| NPI: | 1366736712 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ESTEP | ||||||||
| FirstName: | DONNA | ||||||||
| MiddleName: | KAREN | ||||||||
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| Credential: | RN, BSN, CDE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 149 N FORK RD | ||||||||
| Address2: | |||||||||
| City: | LANDER | ||||||||
| State: | WY | ||||||||
| PostalCode: | 825209720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3077140990 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 748 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | LANDER | ||||||||
| State: | WY | ||||||||
| PostalCode: | 825203036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3073322231 | ||||||||
| FaxNumber: | 3073329338 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2011 | ||||||||
| LastUpdateDate: | 07/13/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 14972 | WY | Y | Nursing Service Providers | Registered Nurse |
No ID Information.