Provider Demographics
NPI:1457230179
Name:ESPEJO, PERLA ITZELL (RN)
Entity type:Individual
Prefix:
First Name:PERLA
Middle Name:ITZELL
Last Name:ESPEJO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PERLA
Other - Middle Name:ITZELL
Other - Last Name:KELBON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9914 18TH AVE W UNIT C
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-1469
Mailing Address - Country:US
Mailing Address - Phone:425-268-7915
Mailing Address - Fax:
Practice Address - Street 1:9914 18TH AVE W UNIT C
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-1469
Practice Address - Country:US
Practice Address - Phone:425-268-7915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61109998163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse