Provider Demographics
NPI:1205285285
Name:ESCAMIS, PAT RYAN M (APRN)
Entity type:Individual
Prefix:
First Name:PAT RYAN
Middle Name:M
Last Name:ESCAMIS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2847 SAINT ROSE PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4845
Mailing Address - Country:US
Mailing Address - Phone:702-213-4848
Mailing Address - Fax:702-213-5885
Practice Address - Street 1:2847 SAINT ROSE PKWY STE 150
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4845
Practice Address - Country:US
Practice Address - Phone:702-213-4848
Practice Address - Fax:702-213-5885
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002255363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily