Individual
GENESIS Y VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2630 CENTRAL AVE, EIELSON AFB, AK 99702-2301
(907) 377-6980
Mailing address
2630 CENTRAL AVE, EIELSON AFB, AK 99702-2301
(907) 377-6980
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
XXXXXXX
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/05/2022
Last updated
08/15/2025
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