Healthcare Provider Details

I. General information

NPI: 1205285285
Provider Name (Legal Business Name): PAT RYAN M. ESCAMIS APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7399 S JONES BLVD STE A1
LAS VEGAS NV
89139-5554
US

IV. Provider business mailing address

7399 S JONES BLVD STE A1
LAS VEGAS NV
89139-5554
US

V. Phone/Fax

Practice location:
  • Phone: 702-757-1781
  • Fax: 833-654-0617
Mailing address:
  • Phone: 702-757-1781
  • Fax: 833-654-0617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN002255
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: