MEDICARE: MS. DANA VAZQUEZ MSN, RNC-OB, IBCLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)	L-315443	AZ

General Provider Information

NPI Number	:	1003238957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA VAZQUEZ MSN, RNC-OB, IBCLC

Provider Business Mailing Address
First Line	:	17062 N 50TH PL
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-1465
Country	:	US
Telephone Number	:	610-390-8223
Fax Number	:

Provider Business Practice Location Address
First Line	:	17062 N 50TH PL
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-1465
Country	:	US
Telephone Number	:	610-390-8223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2014
Last Update Date	:	03/23/2026

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