Healthcare Provider Details

I. General information

NPI: 1760291553
Provider Name (Legal Business Name): STEPHANIE MARIE ESTEVEZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 13TH AVENUE PL NW STE 120
HICKORY NC
28601-2568
US

IV. Provider business mailing address

1317 LANDSDOWNE DR
CONOVER NC
28613-8922
US

V. Phone/Fax

Practice location:
  • Phone: 828-328-2941
  • Fax:
Mailing address:
  • Phone: 828-994-7886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number345232
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5021431
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: