Basic Information
| Provider Information | |||||||||
| NPI: | 1366876450 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ESQUIVEL | ||||||||
| FirstName: | LARAINE | ||||||||
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| Credential: | APRN, FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4432 S EASTERN AVE | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891197825 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027332982 | ||||||||
| FaxNumber: | 7025070804 | ||||||||
| Practice Location | |||||||||
| Address1: | 8670 W CHEYENNE AVE | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891297456 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7025769608 | ||||||||
| FaxNumber: | 7025769609 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/26/2013 | ||||||||
| LastUpdateDate: | 03/28/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | APRN001550 | NV | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.