Individual
DR. NIVEA T VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6345 CENTER DR, NORFOLK, VA 23502-4105
(757) 461-4027
(757) 461-8821
Mailing address
3305 PERRINS CHASE, VIRGINIA BEACH, VA 23452-6258
(757) 463-4588
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101045330
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770531634
—
VA
01
—
250441
ANTHEM BLUE CROSS
—
01
—
99128
OPTIMA HEALTH CARE
—
Enumeration date
05/04/2006
Last updated
12/07/2012
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