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Mrs. Terri Vaccarezza, NP
Pediatric Nurse Practitioner in Lodi, California
NPI 1952414013

Terri Vaccarezza is a Pediatric Nurse Practitioner based in Lodi, CA and is specialized in Pediatrics. Terri Vaccarezza practices in Lodi, CA and has the professional credentials of NP. The NPI Number for Terri Vaccarezza is 1952414013 and holds a License No. RN271511 (California).

The current practice location address for Terri Vaccarezza is 2415 W Vine St Ste 100, Lodi, CA and can be reached out via phone at 209-333-3135.

Location: 2415 W Vine St Ste 100, Lodi, CA, 95242-3731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952414013
Provider Name
Terri Vaccarezza
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2415 W Vine St Ste 100, Lodi, CA, 95242-3731
Phone Number
209-333-3135
Fax Number
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2415 W Vine St Ste 100
City
Lodi
State
California
Zip
95242-3731
Phone Number
209-333-3135
Fax Number
person
Provider Business Mailing Address Details
Address
2415 W Vine St Ste 100
City
Lodi
State
California
Zip
95242-3731
Phone Number
209-333-3135
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN271511 (California)
Definition
Definition to come...
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