Provider Demographics
NPI:1962883553
Name:ESCARDA, MA VICTORIA MANLAPAS (APRN)
Entity type:Individual
Prefix:
First Name:MA VICTORIA
Middle Name:MANLAPAS
Last Name:ESCARDA
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 1:8612 COPPER KNOLL AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7649
Mailing Address - Country:US
Mailing Address - Phone:132-333-8610
Mailing Address - Fax:
Practice Address - Street 1:8612 COPPER KNOLL AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7649
Practice Address - Country:US
Practice Address - Phone:132-333-8610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVTAPRN701135363LG0600X
NVAPRN001943363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology