Individual
MARILYN VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 274-4779
(317) 948-9806
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
(317) 880-0343
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
28156689A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71015279A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300092593
—
IN
Enumeration date
06/10/2024
Last updated
04/08/2026
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