Individual
ROSE M. VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4768
(206) 598-3470
Mailing address
PO BOX 24366, SEATTLE, WA 98124-0366
(206) 598-0502
(206) 598-0516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00119984
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30003672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0204064
LABOR & INDUSTRY
WA
05
—
9619883
—
WA
01
—
96817U
REGENCE BLUESHIELD
WA
Enumeration date
07/10/2006
Last updated
10/11/2007
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