Healthcare Provider Details

I. General information

NPI: 1841843869
Provider Name (Legal Business Name): KATRINA ESCALAMBRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2019
Last Update Date: 07/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 W SUNSET RD STE 120
HENDERSON NV
89014-2078
US

IV. Provider business mailing address

2016 W SUNSET RD STE 120
HENDERSON NV
89014-2078
US

V. Phone/Fax

Practice location:
  • Phone: 702-893-3011
  • Fax: 702-893-3012
Mailing address:
  • Phone: 702-893-3011
  • Fax: 702-893-3012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: