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Organization

EVOLVE WELLNESS PROFESSIONAL CORP

Active
Other names
Doc2Door
Organization subpart
No

Provider details

NPI number
Authorized official
DARYL ELDER LORENZO ESCALONA APRN-CNP (CEO)
(702) 969-4021
Entity
Organization

Contact information

Practice address
3675 PECOS MCLEOD STE 700, LAS VEGAS, NV 89121-3811
(702) 356-2921
(702) 356-2922
Mailing address
3675 PECOS MCLEOD STE 700, LAS VEGAS, NV 89121-3811
(702) 356-2921
(702) 356-2922

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
250034589
NV
Enumeration date
08/21/2024
Last updated
05/10/2026
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