Most Relevant Information
Provider Data
| NPI Number: | 1003363722 |
| Provider Name: | DEBRA VACCARO FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024173928 |
Most Important Dates
| Enumeration Date: | 09/10/2016 |
| Last Updated: | 09/12/2022 |
Provider Practice Location
3500 COMANCHE RD NE STE C
ALBUQUERQUE
NM
871074546
Practice Location Phone/Fax
| Phone: | 5059987200 |
| Fax: | 5059987220 |
Provider Mailing Location
4374 NEW TOWN AVE
STE 102
WILLIAMSBURG
VA
231882865
Provider Mailing Phone/Fax
| Phone: | 7572596770 |
| Fax: | 7572596794 |