Individual
ELSA TAMARA FUENTES-VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 W THOMAS RD, PHOENIX, AZ 85015-6101
(602) 283-5732
Mailing address
1514 W THOMAS RD, PHOENIX, AZ 85015-6101
(602) 283-5732
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
254628
AZ
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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