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IDELISA VAZQUEZ
NPI 1609083450
Licensed Practical Nurse in Worcester, MA

Active since May 17, 2007
19 TACOMA ST, WORCESTER, MA 01605(508) 852-1805(508) 853-8593 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idelisa Vazquez NPPES

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

IDELISA VAZQUEZ (NPI 1609083450) is an individual licensed practical nurse in Worcester, Massachusetts, licensed in Massachusetts (60985) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1609083450
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameIDELISA VAZQUEZ
Location Address19 TACOMA STWorcester, MA 01605-3516
Mailing Address19 Tacoma StWorcester, MA 01605-3516 · (508) 852-1805 · Fax (508) 853-8593
Phone(508) 852-1805
Fax(508) 853-8593
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1609083450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MA · 60985
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
19 TACOMA ST, Worcester, MA 01605
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Other Identifiers 1

Medicaid1301071MA

Other Providers at the Same Location NPPES 20

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

ANNE WALTON
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
STEFANIA M PERALTA RN
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
BETHANY IRISH RN
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, INC
Pharmacy (Clinic Pharmacy)
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 854-2128
MERCEDES DINORAH LOPEZ LPN
Licensed Practical Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
DR. DANA DELDOTTO PHARMD
Pharmacist
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 595-1181
NICHOLAS ADAM YOAKUM PA-C
Physician Assistant
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805
KAITLIN SOUTHERN
Registered Nurse
19 TACOMA ST
WORCESTER, MA 01605
Worcester County (508) 852-1805

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 Idelisa Vazquez's NPI number?

The NPI number for Idelisa Vazquez is 1609083450. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Idelisa Vazquez located?

Idelisa Vazquez practices at 19 Tacoma St, Worcester, MA 01605. The listed phone number is (508) 852-1805.

What is Idelisa Vazquez's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Idelisa Vazquez was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.