MEDICARE: XANTHIA ESCOBEDO RN

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	163WH0200X	Home Health Registered Nurse	858998	NV

General Provider Information

NPI Number	:	1942189105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XANTHIA ESCOBEDO RN

Provider Business Mailing Address
First Line	:	2925 WIGWAM PKWY UNIT 822
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-2873
Country	:	US
Telephone Number	:	702-449-4538
Fax Number	:

Provider Business Practice Location Address
First Line	:	2925 WIGWAM PKWY UNIT 822
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-2873
Country	:	US
Telephone Number	:	702-449-4538
Fax Number	:

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

Provider Enumeration Date	:	08/30/2025
Last Update Date	:	08/30/2025

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