Provider Demographics
NPI:1194330175
Name:ESCALERA, HERLIENI (APRN)
Entity type:Individual
Prefix:
First Name:HERLIENI
Middle Name:
Last Name:ESCALERA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 W COLONIAL DR STE 289
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3432
Mailing Address - Country:US
Mailing Address - Phone:321-841-4344
Mailing Address - Fax:321-842-4767
Practice Address - Street 1:10000 W COLONIAL DR STE 289
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3432
Practice Address - Country:US
Practice Address - Phone:321-841-4344
Practice Address - Fax:321-842-4767
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11009158207RG0100X
FLAPRN11009158363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology