Healthcare Provider Details

I. General information

NPI: 1841587987
Provider Name (Legal Business Name): CARA L ESAU APRN-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARA L MOORE APRN-NP

II. Dates (important events)

Enumeration Date: 07/08/2011
Last Update Date: 08/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 N 10TH ST
BEATRICE NE
68310-2039
US

IV. Provider business mailing address

1110 N 10TH ST
BEATRICE NE
68310-2039
US

V. Phone/Fax

Practice location:
  • Phone: 402-228-3344
  • Fax: 402-223-7213
Mailing address:
  • Phone: 402-228-3344
  • Fax: 402-223-7213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number111286
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: