Individual
DAVID VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1201 S MAIN ST, CROWN POINT, IN 46307-8481
(219) 757-6390
Mailing address
1302 FRANKLIN AVE, NORMAL, IL 61761-3551
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209020777
IL
367500000X
Certified Registered Nurse Anesthetist
28227148A
IN
Other
Enumeration date
06/20/2018
Last updated
04/26/2024
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