Healthcare Provider Details

I. General information

NPI: 1982581856
Provider Name (Legal Business Name): CARMEN JANINA ESQUIVEL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 S UNION AVE
TACOMA WA
98405-1702
US

IV. Provider business mailing address

2602 WESTRIDGE AVE W APT N102
TACOMA WA
98466-8262
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-1000
  • Fax:
Mailing address:
  • Phone: 250-539-0804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP.AP.70005474-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: