Healthcare Provider Details

I. General information

NPI: 1215743034
Provider Name (Legal Business Name): GIULIANNA ISABELLE ESCOBAR PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FOUCHER ST
NEW ORLEANS LA
70115-3515
US

IV. Provider business mailing address

3413 LAKE DES ALLEMANDS DR
HARVEY LA
70058-5188
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-7011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number343812
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: