Individual
KERA VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
310 E DUPONT RD, FORT WAYNE, IN 46825-8000
(833) 762-3739
Mailing address
12218 CHESTERBROOK CT, FORT WAYNE, IN 46845-1966
(260) 573-1409
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
28207853A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013255A
IN
Other
Enumeration date
07/06/2022
Last updated
05/08/2025
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