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

Yesenia Mary Malave Vazquez

Individual provider Family Nurse Practitioner · NPI 1487399366

Yesenia Mary Malave Vazquez is a Nurse Practitioner in South Daytona, Florida. Qualified in 2022, 4 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2241 Brian Ave
South Daytona, FL 32119-2721
Phone: (386) 547-0554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11019521 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11019521 (FL)

Record details

NPI number1487399366
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 4, 2022
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in South Daytona