Provider Demographics
NPI:1922855386
Name:SINCLAIR, ESTACIA GILLIAN (APRN-C)
Entity type:Individual
Prefix:
First Name:ESTACIA
Middle Name:GILLIAN
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5627 HODGEMAN RD
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:KS
Mailing Address - Zip Code:66023-5064
Mailing Address - Country:US
Mailing Address - Phone:785-817-3327
Mailing Address - Fax:
Practice Address - Street 1:801 S 8TH ST
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-2724
Practice Address - Country:US
Practice Address - Phone:918-360-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-83107-052363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner