# MRS. KELLY J VASQUENZA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770764870
- **Gender:** F
- **Credential:** C.R.N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0000X | Pain Management Registered Nurse | R127273 | MD | — |
| 363L00000X | Nurse Practitioner | R127273 | MD | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | 20010086 | MD | — |
| 367500000X | Certified Registered Nurse Anesthetist | R127273 | MD | — |

## Other

- **Enumeration date:** 11/16/2007
- **Last updated:** 08/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | T0910 | JHH | — |