Provider Demographics
NPI:1477847788
Name:VAQUERA, DANIELA (FNP)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:VAQUERA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 E SAUNDERS ST PLAZA TWO
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5434
Mailing Address - Country:US
Mailing Address - Phone:956-723-4673
Mailing Address - Fax:956-723-3133
Practice Address - Street 1:2325 E SAUNDERS ST PLAZA TWO
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5434
Practice Address - Country:US
Practice Address - Phone:956-723-4673
Practice Address - Fax:956-723-3133
Is Sole Proprietor?:No
Enumeration Date:2011-06-03
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP119039363L00000X
TX684973363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX365103601Medicaid
TX1477847788Medicaid