Provider Demographics
NPI:1689493348
Name:DUNCAN, ESPERANZA EILEEN (APRN)
Entity type:Individual
Prefix:
First Name:ESPERANZA
Middle Name:EILEEN
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 N OKLAHOMA ST
Mailing Address - Street 2:
Mailing Address - City:TRYON
Mailing Address - State:OK
Mailing Address - Zip Code:74875-7718
Mailing Address - Country:US
Mailing Address - Phone:405-328-0714
Mailing Address - Fax:
Practice Address - Street 1:160 E SW 59TH ST
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-4722
Practice Address - Country:US
Practice Address - Phone:405-730-6990
Practice Address - Fax:405-730-6992
Is Sole Proprietor?:No
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK220573363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily