Provider Demographics
NPI:1740325737
Name:VELASQUEZ, DONNA MARIE (RN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:MARIE
Last Name:VELASQUEZ
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7331 E ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-4020
Mailing Address - Country:US
Mailing Address - Phone:480-990-7489
Mailing Address - Fax:
Practice Address - Street 1:1305 N MARTIN ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721-0203
Practice Address - Country:US
Practice Address - Phone:520-626-6076
Practice Address - Fax:520-626-4062
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN030584363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily