Healthcare Provider Details

I. General information

NPI: 1376595983
Provider Name (Legal Business Name): MAUDE L ESCALANTE RN,FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAUDE L DURBIN RN, FNP-C

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 06/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 N WALNUT AVE SUITE 101
NEW BRAUNFELS TX
78130-7927
US

IV. Provider business mailing address

731 N WALNUT AVE SUITE 101
NEW BRAUNFELS TX
78130-7927
US

V. Phone/Fax

Practice location:
  • Phone: 830-609-0080
  • Fax: 830-629-0416
Mailing address:
  • Phone: 830-609-0080
  • Fax: 830-629-0416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP111912
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: