Individual
MR. JAVIER VAZQUEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
329 VALLEY FORGE CT, WARMINSTER, PA 18974-2093
(215) 432-9688
Mailing address
3485 DAVISVILLE RD, HATBORO, PA 19040-4220
(215) 830-0400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP021546
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP021546
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3300336115
—
PA
Enumeration date
03/02/2020
Last updated
02/01/2023
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