Healthcare Provider Details

I. General information

NPI: 1942189105
Provider Name (Legal Business Name): XANTHIA ESCOBEDO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2025
Last Update Date: 08/30/2025
Certification Date: 08/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 WIGWAM PKWY UNIT 822
HENDERSON NV
89074-2873
US

IV. Provider business mailing address

2925 WIGWAM PKWY UNIT 822
HENDERSON NV
89074-2873
US

V. Phone/Fax

Practice location:
  • Phone: 702-449-4538
  • Fax:
Mailing address:
  • Phone: 702-449-4538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number858998
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: