Provider Demographics
NPI:1316451354
Name:ESCALERA, COURTNEY EMILY (RN)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:EMILY
Last Name:ESCALERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 BUNKER RD SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-2266
Mailing Address - Country:US
Mailing Address - Phone:505-553-6677
Mailing Address - Fax:
Practice Address - Street 1:3645 NM-47
Practice Address - Street 2:
Practice Address - City:PERALTA
Practice Address - State:NM
Practice Address - Zip Code:87042
Practice Address - Country:US
Practice Address - Phone:505-869-5405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN-83162163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool