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NPI Code Detail

MEDICARE: MARILYN VAZQUEZ DNP

MEDICARE: MARILYN VAZQUEZ DNP
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
1363LN0000XNeonatal Nurse Practitioner28156689AIN
2363LN0000XNeonatal Nurse Practitioner71015279AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891537932
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN VAZQUEZ DNP
Provider Business Mailing Address
First Line : PO BOX 637764
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-7764
Country : US
Telephone Number : 317-880-3939
Fax Number : 317-880-0343
Provider Business Practice Location Address
First Line : 1500 N RITTER AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-3027
Country : US
Telephone Number : 317-274-4779
Fax Number : 317-948-9806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2024
Last Update Date : 01/28/2026

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