Individual provider · Type 1 NPI

Juan Caraballo Vazquez

Family Nurse Practitioner · Fort Stewart, GA

NPI number 1215631015 Active

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X4559 (PR)
Family Nurse Practitioner Primary 363LF0000XAPRN11023166 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1215631015

Juan Caraballo Vazquez's National Provider Identifier is 1215631015, issued on Mar 28, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Stewart, GA. The record was last updated on Oct 28, 2024.