Individual provider · Type 1 NPI
Megan Jaylyn Velasquez-Baca, MSN-APRN
Family Nurse Practitioner · Blanco, NM
NPI number
1710580865
Active
Practice location
114 Road 4599
Blanco, NM 87412-8741
Mailing address
PO Box 305
Blanco, NM 87412-0304
Other practice locations
- 2300 E 30th St, Farmington, NM 87401-8990 · (505) 324-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 62051 (NM) |
Family Nurse Practitioner: Definition to come...
About NPI 1710580865
Megan Jaylyn Velasquez-Baca, MSN-APRN's National Provider Identifier is 1710580865, issued on Nov 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Blanco, NM. The record was last updated on Feb 18, 2021.