Healthcare Provider Details

I. General information

NPI: 1548025364
Provider Name (Legal Business Name): MEEGHAN ESCOBAR FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 N HARRISON RD
TUCSON AZ
85748-3260
US

IV. Provider business mailing address

7533 E 34TH ST
TUCSON AZ
85710-6009
US

V. Phone/Fax

Practice location:
  • Phone: 520-324-4403
  • Fax:
Mailing address:
  • Phone: 347-703-2844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number304067
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: