Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 9183842 | FL |
Y | 363LN0000X | Nurse Practitioner - Neonatal | 9183842 | FL |
NPI | 1073833661 |
---|---|
Provider Name | Mrs. Annalyn Velasquez |
First Address | Miami, FL 33155-4000 |
Second Address | Coral Gables, FL 33133-4841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2010 |
Last Update Date | 23/10/2018 |