Provider Demographics
NPI:1760012066
Name:HESTER, ERICA
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:HESTER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34000 NORTH 27TH DRIVE SUITE 2111
Mailing Address - Street 2:SUITE 2111
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085
Mailing Address - Country:US
Mailing Address - Phone:480-476-4604
Mailing Address - Fax:
Practice Address - Street 1:34000 NORTH 27TH DRIVE SUITE 2111
Practice Address - Street 2:SUITE 2111
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085
Practice Address - Country:US
Practice Address - Phone:480-476-4604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-25
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion