Individual provider · NPI-1
Nachell Tenise Escobedo, CNM
Nurse Practitioner, Psych/Mental Health · Las Vegas, NV
NPI number1225548886
StatusActive
Last updated in NPPESFeb 28, 2023
Details
- NPI
- 1225548886
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nachell Tenise Escobedo
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2017
- Certification date
- Feb 28, 2023
- Last updated
- Feb 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 860648 | NV | Yes |
| 363LX0001X | Nurse Practitioner, Obstetrics & Gynecology | APRN002625 | NV | |
| 367A00000X | Advanced Practice Midwife | – | – |
Practice location
4750 W Oakey BlvdLas Vegas, NV 89102
Phone 702-877-5199
Mailing address
Po Box 35380Las Vegas, NV 89133-5380
Phone 702-877-5199
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