Provider Demographics
NPI:1417844275
Name:ESPINOZA, VANESSA VIVYANNE (BSN, RN, CCRN-CSC)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:VIVYANNE
Last Name:ESPINOZA
Suffix:
Gender:F
Credentials:BSN, RN, CCRN-CSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 CARDAMON DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-3238
Mailing Address - Country:US
Mailing Address - Phone:703-677-6581
Mailing Address - Fax:
Practice Address - Street 1:525 N WOLFE ST UNIT N230
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2110
Practice Address - Country:US
Practice Address - Phone:410-955-7548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1039347163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine