Healthcare Provider Details

I. General information

NPI: 1326926809
Provider Name (Legal Business Name): MARIELA ESCOBAR RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2025
Last Update Date: 08/23/2025
Certification Date: 08/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 COLLIER BLVD
NAPLES FL
34114-3549
US

IV. Provider business mailing address

11081 LONGSHORE WAY W
NAPLES FL
34119-8823
US

V. Phone/Fax

Practice location:
  • Phone: 239-354-6000
  • Fax:
Mailing address:
  • Phone: 239-961-9979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9687934
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: