Individual provider · Type 1 NPI
Kelly J. Vasquenza, C.R.N.P.
Nurse Practitioner · Baltimore, MD
Practice location
600 N Wolfe Street, Blalock 904
Baltimore, MD 21287-0005
Mailing address
PO Box 64382
Baltimore, MD 21264-4382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R127273 (MD) |
| Pediatric Nurse Practitioner | 363LP0200X | 20010086 (MD) |
| Certified Registered Nurse Anesthetist | 367500000X | R127273 (MD) |
| Pain Management Registered Nurse | 163WP0000X | R127273 (MD) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1770764870
Kelly J. Vasquenza, C.R.N.P.'s National Provider Identifier is 1770764870, issued on Nov 16, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baltimore, MD. The record was last updated on Aug 13, 2026.