Provider Demographics
NPI:1326714171
Name:ESQUIVEL, ANTHONY (AGPCNP)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:ESQUIVEL
Suffix:
Gender:M
Credentials:AGPCNP
Other - Prefix:
Other - First Name:ANTHONY
Other - Middle Name:ESQUIVEL
Other - Last Name:MONDRAGON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AGPCNP
Mailing Address - Street 1:777 BANNOCK ST # MC3240
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4597
Mailing Address - Country:US
Mailing Address - Phone:303-602-2718
Mailing Address - Fax:303-602-2719
Practice Address - Street 1:777 BANNOCK ST # MC3240
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4597
Practice Address - Country:US
Practice Address - Phone:303-602-2718
Practice Address - Fax:303-602-2719
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAG04210060363LG0600X, 363LP2300X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care