Provider Demographics
NPI:1588174361
Name:LEONARDO, BILLY ESCABA (APRN)
Entity type:Individual
Prefix:
First Name:BILLY
Middle Name:ESCABA
Last Name:LEONARDO
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 DOLPHIN CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-5319
Mailing Address - Country:US
Mailing Address - Phone:702-842-2516
Mailing Address - Fax:253-248-6149
Practice Address - Street 1:2340 DOLPHIN CT
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-5319
Practice Address - Country:US
Practice Address - Phone:702-842-2516
Practice Address - Fax:253-248-6149
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-05
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002656363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty