Provider Demographics
NPI:1003175803
Name:VEGA PARAMO, AZUCENA (RN)
Entity type:Individual
Prefix:
First Name:AZUCENA
Middle Name:
Last Name:VEGA PARAMO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2712 ZELLER AVE
Mailing Address - Street 2:NAPA
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3514
Mailing Address - Country:US
Mailing Address - Phone:707-259-9427
Mailing Address - Fax:
Practice Address - Street 1:2712 ZELLER AVE
Practice Address - Street 2:NAPA
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3514
Practice Address - Country:US
Practice Address - Phone:707-259-9427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-14
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA770659163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse