Provider Demographics
NPI:1245331123
Name:ESQUIBEL, EDWIN ANTHONY (C-FNP)
Entity type:Individual
Prefix:MR
First Name:EDWIN
Middle Name:ANTHONY
Last Name:ESQUIBEL
Suffix:
Gender:M
Credentials:C-FNP
Other - Prefix:MR
Other - First Name:EDWIN
Other - Middle Name:ANTHONY
Other - Last Name:ESQUIBEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:C-FNP
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:970-624-4034
Mailing Address - Fax:970-490-4347
Practice Address - Street 1:4110 BRIARGATE PKWY STE 445
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7839
Practice Address - Country:US
Practice Address - Phone:719-364-8840
Practice Address - Fax:719-364-3597
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR23821363LF0000X
COAPN.0993107-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMCNP00415OtherCERTIFIED NURSE PRACTITIONER