Healthcare Provider Details

I. General information

NPI: 1245145259
Provider Name (Legal Business Name): REYNA LIZBETH VAZQUEZ DIRCIO LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10690 DEL MAR PKWY
AURORA CO
80010-4011
US

IV. Provider business mailing address

8444 N 90TH ST STE 100
SCOTTSDALE AZ
85258-4437
US

V. Phone/Fax

Practice location:
  • Phone: 720-549-8325
  • Fax: 303-955-6042
Mailing address:
  • Phone: 602-248-8889
  • Fax: 602-248-8999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberPN.0337556
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: