Provider Demographics
NPI:1063204725
Name:ESCOBEDO, NANCY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:ESCOBEDO
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 1:2517 14TH AVE S APT 204
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-5258
Mailing Address - Country:US
Mailing Address - Phone:218-693-8551
Mailing Address - Fax:
Practice Address - Street 1:2517 14TH AVE S APT 204
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-5258
Practice Address - Country:US
Practice Address - Phone:218-693-8551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide