Individual
MRS. MYRNA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 POTTERS LN, CLARKSVILLE, IN 47129-1017
(443) 383-9300
(855) 866-8710
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(443) 383-9300
(855) 866-8710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209008817
IL
Other
Enumeration date
07/18/2011
Last updated
10/20/2022
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