Individual
DR. MARIO ALBERTO VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, ARNP, PMHNP-BC
Contact information
Practice address
4686 POINTES DR STE 219, MUKILTEO, WA 98275-6038
(425) 405-8069
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60965690
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61331425
WA
Other
Enumeration date
02/17/2022
Last updated
07/29/2022
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