Individual
TIMOTHY RAY ESCARCEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1401 S DON ROSER DR STE F1, LAS CRUCES, NM 88011-4577
(575) 303-2929
Mailing address
PO BOX 2845, LAS CRUCES, NM 88004-2845
(575) 373-5731
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
62532
NM
363LA2200X
Adult Health Nurse Practitioner
62532
NM
363LG0600X
Gerontology Nurse Practitioner
Primary
62532
NM
363LP2300X
Primary Care Nurse Practitioner
62532
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62532
APRN-CNP #
NM
01
—
RN-81479
RN #
NM
Enumeration date
01/14/2021
Last updated
04/15/2021
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