MRS. KELLY BRADFORD VAZQUEZ C.R.N.P. NPI 1215385380

NPI Information

NPI: 1215385380
Provider Name: MRS. KELLY BRADFORD VAZQUEZ, C.R.N.P.
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1104 MONROE ST SW
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 265-5864
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MRS. Kelly Bradford Vazquez, C.R.N.P. is an acute care nurse practitioner in Huntsville, AL with 9 years of experience. MRS. Kelly Bradford Vazquez, C.R.N.P. NPI is 1215385380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

1104 MONROE ST SW
HUNTSVILLE, AL
ZIP 35801-029
Phone: (256) 265-5864
Fax: (256) 265-5865

The NPI 1215385380 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2016 and was last updated on 1/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	1-145099	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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