MARIA TERESA DE LA VEGA NP
NPI 1255473724
Nurse Practitioner - Adult Health in Canton, NY

Active since February 13, 2007
9 MINER ST, CANTON, NY 13617(315) 386-8821(315) 386-4732 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jan 13, 2020 (2 updates tracked since 2020).

About Maria Teresa De La Vega Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA TERESA DE LA VEGA NP (NPI 1255473724) is an individual adult health provider in Canton, New York, licensed in New York (F300013-1) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1255473724
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARIA TERESA DE LA VEGACredential: NP
Location Address9 MINER STCanton, NY 13617-1208
Mailing Address9 Miner StCanton, NY 13617-1208 · (315) 386-8821 · Fax (315) 386-4732
Fax(315) 386-4732
Sole ProprietorNo
Enumeration DateFebruary 13, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2020
NPI 1255473724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F300013-1
9 MINER ST, Canton, NY 13617

Other Identifiers 1

Medicaid00583697NY

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
9 MINER ST
CANTON, NY 13617
Nurse Practitioner (Family)
9 MINER ST
CANTON, NY 13617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria De La Vega's NPI number?

The NPI number for Maria De La Vega is 1255473724. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Maria De La Vega located?

Maria De La Vega practices at 9 Miner St, Canton, NY 13617. The listed phone number is (315) 386-8821.

What is Maria De La Vega's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Maria De La Vega was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.