Provider Demographics
NPI:1871016469
Name:VAZQUEZ, DIANA (DNP, APRN)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:DR
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:VAZQUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, APRN - BC
Mailing Address - Street 1:10500 NW 32ND PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-1172
Mailing Address - Country:US
Mailing Address - Phone:305-962-3241
Mailing Address - Fax:
Practice Address - Street 1:336 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33128-1616
Practice Address - Country:US
Practice Address - Phone:305-577-4840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2023-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9449300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily