MEDICARE: TANIKA C ESTERS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	2001020564	MO

General Provider Information

NPI Number	:	1730496522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANIKA C ESTERS NP

Provider Business Mailing Address
First Line	:	10135 W FLORISSANT AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-2103
Country	:	US
Telephone Number	:	314-731-7989
Fax Number	:

Provider Business Practice Location Address
First Line	:	10135 W FLORISSANT AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-2103
Country	:	US
Telephone Number	:	314-731-7989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2010
Last Update Date	:	02/21/2025

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