Provider Demographics
NPI:1962544601
Name:ESCUDERO, ADRIANA PATRICIA (CRNA)
Entity type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:PATRICIA
Last Name:ESCUDERO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 FAIRWAY DRIVE, SUITE 202
Mailing Address - Street 2:HIALEAH ANESTHESIA SPECIALIST
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418
Mailing Address - Country:US
Mailing Address - Phone:561-799-3552
Mailing Address - Fax:
Practice Address - Street 1:7111 FAIRWAY DRIVE, SUITE 202
Practice Address - Street 2:HIALEAH ANESTHESIA SPECIALIST
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418
Practice Address - Country:US
Practice Address - Phone:561-799-3552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3196162367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered