Provider Demographics
NPI:1144750068
Name:LORENZO ESCALONA, DARYL (APRN-CNP)
Entity type:Individual
Prefix:
First Name:DARYL
Middle Name:
Last Name:LORENZO ESCALONA
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6859 S EASTERN AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-0003
Mailing Address - Country:US
Mailing Address - Phone:702-356-2981
Mailing Address - Fax:702-356-2922
Practice Address - Street 1:6859 S EASTERN AVE STE 103
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-0003
Practice Address - Country:US
Practice Address - Phone:702-356-2981
Practice Address - Fax:702-356-2922
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV838567163WP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV250018339Medicaid