Individual
JEREMIAH JOSEPH VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1913 CLAREMONT AVE, PUEBLO, CO 81004-3251
(719) 744-9383
Mailing address
1913 CLAREMONT AVE, PUEBLO, CO 81004-3251
(719) 744-9383
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0996097-NP
CO
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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