Healthcare Provider Details

I. General information

NPI: 1346106903
Provider Name (Legal Business Name): ESTELA ALICIA CHESTER PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26360 464TH AVE
HARTFORD SD
57033-6921
US

IV. Provider business mailing address

26360 464TH AVE
HARTFORD SD
57033-6921
US

V. Phone/Fax

Practice location:
  • Phone: 605-679-1755
  • Fax:
Mailing address:
  • Phone: 605-679-1755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCP003973
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: