Provider Demographics
NPI:1871094185
Name:MOJICA, ESTEFANIA QUINTERO (RN)
Entity type:Individual
Prefix:MRS
First Name:ESTEFANIA
Middle Name:QUINTERO
Last Name:MOJICA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5921 KLEBERG TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78747-2764
Mailing Address - Country:US
Mailing Address - Phone:617-835-1242
Mailing Address - Fax:
Practice Address - Street 1:5921 KLEBERG TRL
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78747-2764
Practice Address - Country:US
Practice Address - Phone:617-835-1242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-22
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX875738163W00000X
TX1080931363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse