Provider Demographics
NPI:1023520046
Name:FLORES-GODAIRE, ESTEFANY J (CNM, MPH)
Entity type:Individual
Prefix:
First Name:ESTEFANY
Middle Name:J
Last Name:FLORES-GODAIRE
Suffix:
Gender:F
Credentials:CNM, MPH
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Mailing Address - Street 1:17 OREGON AVE
Mailing Address - Street 2:
Mailing Address - City:TIVERTON
Mailing Address - State:RI
Mailing Address - Zip Code:02878-2023
Mailing Address - Country:US
Mailing Address - Phone:401-749-4577
Mailing Address - Fax:
Practice Address - Street 1:20 POWEL AVENUE
Practice Address - Street 2:NEWPORT HOSPITAL - LIFESPAN PHYSICIAN GROUP
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840
Practice Address - Country:US
Practice Address - Phone:401-848-5556
Practice Address - Fax:401-519-2994
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN2319724367A00000X
RICNM00216367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife