Provider Demographics
NPI:1972196293
Name:ESQUIVEL, NATHALIE M
Entity Type:Individual
Prefix:
First Name:NATHALIE
Middle Name:M
Last Name:ESQUIVEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 230
Mailing Address - Street 2:
Mailing Address - City:WINNEMUCCA
Mailing Address - State:NV
Mailing Address - Zip Code:89446-0230
Mailing Address - Country:US
Mailing Address - Phone:775-623-6580
Mailing Address - Fax:775-623-6584
Practice Address - Street 1:475 W HASKELL ST
Practice Address - Street 2:
Practice Address - City:WINNEMUCCA
Practice Address - State:NV
Practice Address - Zip Code:89445-6705
Practice Address - Country:US
Practice Address - Phone:775-623-6580
Practice Address - Fax:775-623-6584
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor