Provider Demographics
NPI:1598012809
Name:ESGUERRA, GRACE VALENTON (RN)
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:VALENTON
Last Name:ESGUERRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 MARCEL CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-1158
Mailing Address - Country:US
Mailing Address - Phone:408-828-1769
Mailing Address - Fax:408-440-0920
Practice Address - Street 1:7701 CARMEN BOULEVARD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128
Practice Address - Country:US
Practice Address - Phone:408-828-1769
Practice Address - Fax:408-440-0920
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN41086163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator