Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shalem Vazquez

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1407796824

Shalem Vazquez is a Nurse Practitioner in Miramar, Florida. Qualified in 2025, 1 year ago. Practices with Balanced Wellbeing LLC, a 231-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2026
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Practice location Address checks out

12096 SW 42nd Mnr
Miramar, FL 33025-7997
Phone: (786) 339-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11046827 (FL)

Record details

NPI number1407796824
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address12096 Sw 42nd Mnr, Miramar, FL 33025-7997

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Balanced Wellbeing Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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