Provider Demographics
NPI:1700144623
Name:POE-VELASCO, SYLVIA ANN (WHNP-BC)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ANN
Last Name:POE-VELASCO
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17189 I H 45 S STE 395
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77385-3319
Mailing Address - Country:US
Mailing Address - Phone:936-270-3662
Mailing Address - Fax:936-270-3665
Practice Address - Street 1:17189 I H 45 S STE 395
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77385-3319
Practice Address - Country:US
Practice Address - Phone:936-270-3662
Practice Address - Fax:936-270-3665
Is Sole Proprietor?:No
Enumeration Date:2012-04-28
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142301363L00000X, 363LW0102X
MI4704288531363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner