Individual
MS. VIRGINIA L. VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1235 N MULFORD RD, SUITE 222, ROCKFORD, IL 61107-3879
(815) 397-8400
(815) 229-0050
Mailing address
1235 N MULFORD RD, SUITE 222, ROCKFORD, IL 61107-3879
(815) 397-8400
(815) 229-0050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041263753
IL
363L00000X
Nurse Practitioner
209-006069
IL
363L00000X
Nurse Practitioner
Primary
209006069
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209006069
LICENSE
IL
01
—
820800
MEDICARE PTAN (GROUP)
IL
01
—
820800061
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
10/31/2006
Last updated
07/17/2018
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