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NPI Code Detail

MEDICARE: FRANK A VELAZQUEZ CRNA

MEDICARE: FRANK A VELAZQUEZ CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistCRNA00766NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881788271
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK A VELAZQUEZ CRNA
Provider Business Mailing Address
First Line : 3016 PADDY LN
Second Line : PHS PROVIDER ENROLLMENT
City : LOVELAND
State : CO
Zip : 80537-8798
Country : US
Telephone Number : 970-669-2104
Fax Number : 970-669-2104
Provider Business Practice Location Address
First Line : 301 E MIEL DE LUNA AVE
Second Line : DAN C. TRIGG MEM HOSP
City : TUCUMCARI
State : NM
Zip : 88401-3810
Country : US
Telephone Number : 575-461-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 11/13/2009

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Directions to “ FRANK A VELAZQUEZ CRNA” Practice Location

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