Healthcare Provider Details

I. General information

NPI: 1306516190
Provider Name (Legal Business Name): SANDRA T ESQUIVEL NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA RIVERA NP

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 S AVENUE A STE A104
YUMA AZ
85364-7189
US

IV. Provider business mailing address

2400 S AVENUE A
YUMA AZ
85364-7170
US

V. Phone/Fax

Practice location:
  • Phone: 928-344-2000
  • Fax:
Mailing address:
  • Phone: 928-344-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number263670
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: