Healthcare Provider Details

I. General information

NPI: 1033935168
Provider Name (Legal Business Name): ANA MARGARITA ESQUIVEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2024
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3777 PECOS MCLEOD STE 101
LAS VEGAS NV
89121-4265
US

IV. Provider business mailing address

3777 PECOS MCLEOD STE 101
LAS VEGAS NV
89121-4265
US

V. Phone/Fax

Practice location:
  • Phone: 702-798-0553
  • Fax:
Mailing address:
  • Phone: 702-798-0553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: