Provider Demographics
NPI:1891153896
Name:VASQUEZ, MAGDELINA YVONNE (RN)
Entity type:Individual
Prefix:
First Name:MAGDELINA
Middle Name:YVONNE
Last Name:VASQUEZ
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:MAGDELINA
Other - Middle Name:YVONNE
Other - Last Name:VASQUEZ LARKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1056 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-1958
Mailing Address - Country:US
Mailing Address - Phone:603-665-1580
Mailing Address - Fax:603-668-4143
Practice Address - Street 1:1056 RIVER RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-1958
Practice Address - Country:US
Practice Address - Phone:603-665-1580
Practice Address - Fax:603-668-4143
Is Sole Proprietor?:No
Enumeration Date:2016-02-04
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH072314-21163WP0200X, 163WP0807X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent