Individual
EDWIN VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 E WARWICK DR, ALMA, MI 48801-1010
(989) 463-2779
(989) 463-2064
Mailing address
120 E WARWICK DR, ALMA, MI 48801-1010
(989) 463-2779
(989) 463-2064
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704311697
MI
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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