MEDICARE: STEPHANIE ESCAMILLA ACHPN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP131987	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	666744	OTHER	TX	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033668579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ESCAMILLA ACHPN

Provider Business Mailing Address
First Line	:	PO BOX 840026
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-0026
Country	:	US
Telephone Number	:	806-212-6965
Fax Number	:	806-212-6278

Provider Business Practice Location Address
First Line	:	1600 WALLACE BLVD
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-1799
Country	:	US
Telephone Number	:	806-212-2129
Fax Number	:	806-212-2246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2016
Last Update Date	:	06/08/2026

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