Provider Demographics
NPI:1154088011
Name:VASQUEZ, ALEJANDRA ESTRELLA (NP)
Entity Type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:ESTRELLA
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 W 24TH ST STE 26
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8372
Mailing Address - Country:US
Mailing Address - Phone:928-318-6910
Mailing Address - Fax:928-328-1056
Practice Address - Street 1:1025 W 24TH ST STE 26
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8372
Practice Address - Country:US
Practice Address - Phone:928-318-6910
Practice Address - Fax:928-328-1056
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-26
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN152844163W00000X
AZ272899363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse