Healthcare Provider Details

I. General information

NPI: 1427438464
Provider Name (Legal Business Name): SAMANTHA ESQUIVIAS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAMANTHA LEE

II. Dates (important events)

Enumeration Date: 06/04/2015
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8705 E MCDOWELL RD
SCOTTSDALE AZ
85257-3909
US

IV. Provider business mailing address

7500 N DREAMY DRAW DR STE 145
PHOENIX AZ
85020-4668
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-4545
  • Fax: 480-946-6997
Mailing address:
  • Phone: 480-882-4545
  • Fax: 480-882-5814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP7835
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP7835
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: