Healthcare Provider Details

I. General information

NPI: 1952046971
Provider Name (Legal Business Name): NATALIE CHRISTINE VASQUEZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NATALIE CHRISTINE STRNAD

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 N CENTRAL AVE STE 160
PHOENIX AZ
85012-2702
US

IV. Provider business mailing address

2901 N CENTRAL AVE STE 160
PHOENIX AZ
85012-2702
US

V. Phone/Fax

Practice location:
  • Phone: 602-747-4000
  • Fax:
Mailing address:
  • Phone: 602-747-4005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF04220127
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14288007-4405
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA191213
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: