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Individual

MS. EVA SUSANA VELASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
7850 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4315
(505) 884-1114
Mailing address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R63354
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-02045
NM

Other

Enumeration date
05/25/2012
Last updated
01/06/2023
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