Provider Demographics
NPI:1811371537
Name:FLORES, NORMA VELASCO (DNP, AGACNP-BC, CRNP)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:VELASCO
Last Name:FLORES
Suffix:
Gender:F
Credentials:DNP, AGACNP-BC, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7516 GILLEY TER
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3703
Mailing Address - Country:US
Mailing Address - Phone:443-850-5706
Mailing Address - Fax:
Practice Address - Street 1:7516 GILLEY TER
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3703
Practice Address - Country:US
Practice Address - Phone:443-850-5706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR156597282N00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD$$$$$$$$$OtherSSN