Provider Demographics
NPI:1568584597
Name:VELASQUEZ, MERCEDES ISABEL (R N)
Entity Type:Individual
Prefix:MRS
First Name:MERCEDES
Middle Name:ISABEL
Last Name:VELASQUEZ
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81161 LAS COLINAS ST
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-6620
Mailing Address - Country:US
Mailing Address - Phone:760-775-1798
Mailing Address - Fax:
Practice Address - Street 1:81161 LAS COLINAS ST
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-6620
Practice Address - Country:US
Practice Address - Phone:760-775-1798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA604235163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health