Individual
DEBRA VACCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3500 COMANCHE RD NE STE C, ALBUQUERQUE, NM 87107-4546
(505) 998-7200
(505) 998-7220
Mailing address
4374 NEW TOWN AVE, STE 102, WILLIAMSBURG, VA 23188-2865
(757) 259-6770
(757) 259-6794
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173928
VA
Other
Enumeration date
09/10/2016
Last updated
09/12/2022
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