Provider Demographics
NPI:1407741366
Name:ESCOBAR, NANCY A (CD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:ESCOBAR
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 MAYFLOWER ST
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-1413
Mailing Address - Country:US
Mailing Address - Phone:401-248-3335
Mailing Address - Fax:
Practice Address - Street 1:24 MAYFLOWER ST
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-1413
Practice Address - Country:US
Practice Address - Phone:401-248-3335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI7187374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula