Healthcare Provider Details

I. General information

NPI: 1821935792
Provider Name (Legal Business Name): ESTELLA A IGUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6447 HIL MAR DR APT 203
DISTRICT HEIGHTS MD
20747-4010
US

IV. Provider business mailing address

6447 HIL MAR DR APT 203
DISTRICT HEIGHTS MD
20747-4010
US

V. Phone/Fax

Practice location:
  • Phone: 240-883-4123
  • Fax:
Mailing address:
  • Phone: 240-883-4123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: