Healthcare Provider Details

I. General information

NPI: 1144750068
Provider Name (Legal Business Name): DARYL ELDER LORENZO ESCALONA APRN-CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2017
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3675 PECOS MCLEOD STE 700
LAS VEGAS NV
89121-3811
US

IV. Provider business mailing address

3675 PECOS MCLEOD STE 700
LAS VEGAS NV
89121-3811
US

V. Phone/Fax

Practice location:
  • Phone: 702-356-2921
  • Fax: 702-356-2922
Mailing address:
  • Phone: 702-356-2921
  • Fax: 702-356-2922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number838567
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: