Individual
MRS. ANITA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4208 CENTRAL AVE SW STE G, ALBUQUERQUE, NM 87105-1695
(505) 777-3001
(505) 808-4977
Mailing address
PO BOX 740018, ATLANTA, GA 30374-0018
(312) 773-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R31406
NM
363LA2100X
Acute Care Nurse Practitioner
01587
NM
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP01587
NM
Other
Enumeration date
01/21/2010
Last updated
10/15/2021
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