Provider Demographics
NPI:1225728934
Name:ESCARCEGA, ADRIAN (FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:
Last Name:ESCARCEGA
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14510 W SHUMWAY DR STE 201
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-5817
Mailing Address - Country:US
Mailing Address - Phone:623-444-6463
Mailing Address - Fax:
Practice Address - Street 1:14510 W SHUMWAY DR STE 201
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5817
Practice Address - Country:US
Practice Address - Phone:623-444-6463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ291426363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily