Provider Demographics
NPI:1154811362
Name:VASKO, MARIA NICOLE (DPM)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:NICOLE
Last Name:VASKO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:NICOLE
Other - Last Name:GRECOL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5321 MEADOW LANE CT STE 22
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44035-0601
Mailing Address - Country:US
Mailing Address - Phone:409-348-4444
Mailing Address - Fax:440-975-8278
Practice Address - Street 1:5321 MEADOW LANE CT STE 22
Practice Address - Street 2:
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44035-0601
Practice Address - Country:US
Practice Address - Phone:440-934-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-14
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36004018213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty