Provider Demographics
NPI:1780567255
Name:VAZQUEZ, LEISHA MARIA (DNP,FNP-BC)
Entity type:Individual
Prefix:
First Name:LEISHA
Middle Name:MARIA
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:DNP,FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4511 SE MURRAY COVE CIR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-9132
Mailing Address - Country:US
Mailing Address - Phone:954-261-6671
Mailing Address - Fax:
Practice Address - Street 1:4511 SE MURRAY COVE CIR
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-9132
Practice Address - Country:US
Practice Address - Phone:954-261-6671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11041238363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily