KRISTAL LADAWN VASQUEZ


Address: 4019 North Flood Ave, Normam, OK 73069
Phone: 4052535076

KRISTAL LADAWN VASQUEZ (NPI# 1063030088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063030088
Entity Type Individual
Full Name KRISTAL LADAWN VASQUEZ
Credential AGNP-C
Practice Address 4019 North Flood Ave
Normam
OK 73069
Mailing Address 17408 Murcielago Ct
Oklahoma City
OK 73170-7033
Practice Telephone 4052535076
Mailing Telephone 4057602237
Enumeration Date 2020-07-07
Last Update Date 2020-07-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
108337 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4019 NORTH FLOOD AVE
City NORMAM
State OK
Zip Code 73069

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235739764 Pinnacle Family Health Care Family Medicine 2781 Washington Drive, Suite 101, Norman, OK 73069 2020-10-26
1841828290 Cheryl Renee Stoepker Nurse Practitioner 3441 24th Ave Nw, Norman, OK 73069 2020-03-31
1427689215 Bodyworx Primary Care, LLC Nurse Practitioner 4019 N Flood Ave, Norman, OK 73069 2020-01-30
1528539376 Monika Potdar Pharmacist 2550 Mount Williams Dr, Norman, OK 73069 2018-12-05
1861962193 Bethany Spring Browne Physician Assistant 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 2018-11-29
1528536109 Summit Health and Wellness Center LLC Counselor 2770 Washington Dr, Suite 100, Norman, OK 73069 2018-11-13
1386121960 Sarah Lawhead Case Manager/Care Coordinator 525 Dakota St, Norman, OK 73069 2018-07-25
1528554433 Katie Blankenship Occupational Therapist 330 W Grey Street 100-2, Norman, OK 73069 2018-07-03
1568918886 Brandi Deerinwater Case Manager/Care Coordinator 321 S Peters, Norman, OK 73069 2016-08-28
1538512827 Sean David Holland Physical Therapist 708 24th Ave Nw Ste 100, Norman, OK 73069 2016-07-21
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700492618 Jessica Kearney Nurse Practitioner 8116 Nw 161st Ter, Edmond, OK 73013-5510 2020-09-17
1346852191 Oludari Olutokunbo Olajide Nurse Practitioner 10700 N Council Rd Apt 3, Oklahoma City, OK 73162-4366 2020-08-21
1124638192 Amanda Rushing Nurse Practitioner 705 E Atlanta Ave, Davis, OK 73030-2982 2020-08-05
1104435999 Julie Marie Kelly Nurse Practitioner 1615 S Eucalyptus Ave Ste 210, Broken Arrow, OK 74012-5993 2020-07-28
1750999413 Staci Y Williams Nurse Practitioner 5606 Sw Lee Blvd Ste 203, Lawton, OK 73505-9651 2020-07-20
1144847542 Premier Healthcare, Aprn-cnp Nurse Practitioner 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 2020-07-01
1578184560 Heather Elaine Fry Nurse Practitioner 1908 E Gore Blvd Ste A, Lawton, OK 73501-6129 2020-04-30
1972137511 Danielle Nicole Hurd Nurse Practitioner 1532 N Boston Pl, Tulsa, OK 74106-4104 2020-02-22
1427689215 Bodyworx Primary Care, LLC Nurse Practitioner 4019 N Flood Ave, Norman, OK 73069 2020-01-30
1053968818 Erin Olmsted Nurse Practitioner 3400 W Tecumseh Rd Ste 105, Norman, OK 73072-1810 2019-08-26
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Competitor

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City NORMAM
Zip Code 73069

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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