Healthcare Provider Details

I. General information

NPI: 1356709042
Provider Name (Legal Business Name): MONICA ESCALERA REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MONICA AGUDELO REGISTERED NURSE

II. Dates (important events)

Enumeration Date: 02/09/2016
Last Update Date: 02/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF CALIFORNIA SANTA BARBARA
SANTA BARBARA CA
93106-7002
US

IV. Provider business mailing address

43 SIX FLAGS CIR
BUELLTON CA
93427-9511
US

V. Phone/Fax

Practice location:
  • Phone: 805-893-7129
  • Fax:
Mailing address:
  • Phone: 805-451-0352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number415187
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: