Provider Demographics
NPI:1518399583
Name:VAZQUEZ, DANAE ERIKA (RN)
Entity Type:Individual
Prefix:
First Name:DANAE
Middle Name:ERIKA
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DANAE
Other - Middle Name:ERIKA
Other - Last Name:SOTELO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:2440 REDWING LN
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-6254
Mailing Address - Country:US
Mailing Address - Phone:805-276-4740
Mailing Address - Fax:
Practice Address - Street 1:2440 REDWING LN
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-6254
Practice Address - Country:US
Practice Address - Phone:805-276-4740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA845770163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse