Individual
YERILIS ORTIZ VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 CENTRAL AVE APT 137, CHARLOTTE, NC 28204-2273
(980) 636-4729
Mailing address
1000 CENTRAL AVE APT 137, CHARLOTTE, NC 28204-2273
(980) 636-4729
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
006176
NC
Other
Enumeration date
08/08/2019
Last updated
10/27/2020
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