Provider Demographics
NPI:1679912943
Name:ESCOBAR, PAULA J (RN)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:J
Last Name:ESCOBAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:J
Other - Last Name:WHORF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:659 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2115
Mailing Address - Country:US
Mailing Address - Phone:724-775-1118
Mailing Address - Fax:724-775-2375
Practice Address - Street 1:659 3RD ST
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2115
Practice Address - Country:US
Practice Address - Phone:724-775-1118
Practice Address - Fax:724-775-2375
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN549061163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse