Individual
MARISA ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3613 STATE HWY 528 NW, ALBUQUERQUE, NM 87114-8918
(505) 897-5065
Mailing address
10804 DREAM WEAVER DR NW, ALBUQUERQUE, NM 87114-5060
(505) 897-5065
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-03594
NM
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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