MEDICARE: MRS. TAMU L ESCALERA PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R176076	MD
2	163W00000X	Registered Nurse	RN1011733	DC

General Provider Information

NPI Number	:	1215216999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMU L ESCALERA PMHNP-BC

Provider Business Mailing Address
First Line	:	4910 CORDOVA CT
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20602-3177
Country	:	US
Telephone Number	:	240-210-5864
Fax Number	:

Provider Business Practice Location Address
First Line	:	4910 CORDOVA CT
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20602-3177
Country	:	US
Telephone Number	:	240-210-5864
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2011
Last Update Date	:	03/18/2026

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