Vazquez, Mario

Vazquez, Mario is an individual health care provider with primary practice located at 2451 S Avenue A Ste A104 , Yuma AZ 85364-7189. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Vazquez, Mario can be contacted via phone (928) 336-2165.

Contact Information

Primary practice address
2451 S Avenue A Ste A104 Yuma AZ 85364-7189
Phone: (928) 336-2165
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 234060 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 234060 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 234060 Arizona

Profile Details

NPI number 1023667862
LBN Legal business name Vazquez, Mario
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2019
Last updated May 11th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023667862 NPPES
Arizona MEDICAID 600512

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