Individual
NICOLE LYNN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
435 HURFFVILLE CROSS KEYS RD, TURNERSVILLE, NJ 08012-2453
(856) 513-4124
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18286000
NJ
363L00000X
Nurse Practitioner
Primary
26NJ01418900
NJ
Other
Enumeration date
12/22/2022
Last updated
02/26/2025
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