Provider Demographics
NPI:1871998021
Name:ESTOQUE, EUNICE
Entity type:Individual
Prefix:
First Name:EUNICE
Middle Name:
Last Name:ESTOQUE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 KOSTER BLVD
Mailing Address - Street 2:APT 7A
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-4326
Mailing Address - Country:US
Mailing Address - Phone:732-406-6535
Mailing Address - Fax:
Practice Address - Street 1:13 KOSTER BLVD
Practice Address - Street 2:APT 7A
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-4326
Practice Address - Country:US
Practice Address - Phone:732-406-6535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN263653163WE0003X
NJ26NR14484500163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency