Individual
CARMEN MARIA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
12075 BROOKSIDE RD, AUBURNDALE, WI 54412-9562
(715) 570-4667
Mailing address
12075 BROOKSIDE RD, AUBURNDALE, WI 54412-9562
(715) 570-4667
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
171798-030
WI
363L00000X
Nurse Practitioner
12196-33
WI
Other
Enumeration date
08/05/2014
Last updated
11/14/2022
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