Provider Demographics
NPI:1831715424
Name:PAZ, VANESSA ALEXIS (APRN)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:ALEXIS
Last Name:PAZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9960 NW 116TH WAY STE 13
Mailing Address - Street 2:
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1175
Mailing Address - Country:US
Mailing Address - Phone:786-924-1311
Mailing Address - Fax:786-924-1313
Practice Address - Street 1:9090 SW 87TH CT STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2317
Practice Address - Country:US
Practice Address - Phone:305-596-2080
Practice Address - Fax:305-351-7905
Is Sole Proprietor?:No
Enumeration Date:2020-06-19
Last Update Date:2020-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11005969363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care