MEDICARE: MONICA S VASQUEZ FNP

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	363LF0000X	Family Nurse Practitioner	AP119761	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01249694	OTHER	TX	RAILROAD RETIREMENT MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8483ND	OTHER	TX	BC/BS OF TEXAS

General Provider Information

NPI Number	:	1225338262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA S VASQUEZ FNP

Provider Business Mailing Address
First Line	:	221 N KANSAS ST
Second Line	:	STE. 1501
City	:	EL PASO
State	:	TX
Zip	:	79901-1443
Country	:	US
Telephone Number	:	915-546-9200
Fax Number	:	915-546-9800

Provider Business Practice Location Address
First Line	:	221 N KANSAS ST
Second Line	:	STE. 1501
City	:	EL PASO
State	:	TX
Zip	:	79901-1443
Country	:	US
Telephone Number	:	915-546-9200
Fax Number	:	915-546-9800

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

Provider Enumeration Date	:	10/25/2010
Last Update Date	:	04/14/2015

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Directions to “ MONICA S VASQUEZ FNP” Practice Location

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