Individual
MS. NACHELL TENISE ESCOBEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4750 W OAKEY BLVD, LAS VEGAS, NV 89102
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
860648
NV
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APRN002625
NV
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225548886
—
NV
01
—
V58955
MEDICARE
NV
Enumeration date
10/09/2017
Last updated
02/28/2023
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