Individual
TERESA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1450 DEXTER ST, FORT LUPTON, CO 80621-1503
(303) 857-2087
Mailing address
10422 CHINOOK ST, FIRESTONE, CO 80504-4804
(720) 404-1522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.1000029-NP
CO
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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