Healthcare Provider Details

I. General information

NPI: 1578049706
Provider Name (Legal Business Name): EMLYN LIMBO ESCOBAR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2018
Last Update Date: 07/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9811 W CHARLESTON BLVD STE 2-770
LAS VEGAS NV
89117-7528
US

IV. Provider business mailing address

9811 W CHARLESTON BLVD STE 2-770
LAS VEGAS NV
89117-7528
US

V. Phone/Fax

Practice location:
  • Phone: 702-224-2525
  • Fax: 702-991-7258
Mailing address:
  • Phone: 702-224-2525
  • Fax: 702-991-7258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN002957
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: