Provider Demographics
NPI:1851505721
Name:VAZQUEZ, MARIA D (DNP RN LCCE)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:D
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:DNP RN LCCE
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:DOLORES
Other - Last Name:VAZQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8763 N PEACEFUL VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86315-0803
Mailing Address - Country:US
Mailing Address - Phone:407-221-0158
Mailing Address - Fax:787-251-3475
Practice Address - Street 1:8763 N PEACEFUL VALLEY WAY
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86315-0803
Practice Address - Country:US
Practice Address - Phone:407-221-0158
Practice Address - Fax:787-251-3475
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR29439163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient