Individual
JOSE LUIS VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
7871 S. QUEBEC STREET, SUITE 200, HIGHLANDS RANCH, CO 80130-5861
(303) 683-5620
Mailing address
928 12TH STREET, GREELEY, CO 80631-4024
(970) 352-1056
(970) 336-5000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
109020
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0002658
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91002761
—
CO
Enumeration date
07/07/2005
Last updated
02/04/2016
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