Provider Demographics
NPI:1013640077
Name:VAZQUEZ-CORDERO, CYAN DEL (PA-C)
Entity Type:Individual
Prefix:
First Name:CYAN
Middle Name:DEL
Last Name:VAZQUEZ-CORDERO
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3677
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03061-3677
Mailing Address - Country:US
Mailing Address - Phone:603-577-7900
Mailing Address - Fax:603-577-7972
Practice Address - Street 1:8 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3925
Practice Address - Country:US
Practice Address - Phone:603-882-8375
Practice Address - Fax:603-886-7163
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2023-05-02
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant