Individual
FRANK A VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 E MIEL DE LUNA AVE, DAN C. TRIGG MEM HOSP, TUCUMCARI, NM 88401-3810
(575) 461-7000
Mailing address
3016 PADDY LN, PHS PROVIDER ENROLLMENT, LOVELAND, CO 80537-8798
(970) 669-2104
(970) 669-2104
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA00766
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87982773
—
NM
Enumeration date
10/03/2006
Last updated
11/13/2009
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