Healthcare Provider Details

I. General information

NPI: 1902389307
Provider Name (Legal Business Name): GRISELDA ESCAJEDA APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2018
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2603 MICHAELANGELO DR
EDINBURG TX
78539-1417
US

IV. Provider business mailing address

PO BOX 3989
MCALLEN TX
78502-3989
US

V. Phone/Fax

Practice location:
  • Phone: 956-362-8767
  • Fax: 956-362-2548
Mailing address:
  • Phone: 956-362-8767
  • Fax: 956-362-2548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP138764
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: