Individual provider · Type 1 NPI

Ivan Velazquez

Ambulatory Care Registered Nurse · Phoenix, AZ

NPI number 1790660041 Active

Practice location

5777 E Mayo Blvd
Phoenix, AZ 85054-4502

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201XRN195012 (AZ)
Critical Care Medicine Registered Nurse 163WC0200XRN195012 (AZ)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1790660041

Ivan Velazquez's National Provider Identifier is 1790660041, issued on Aug 6, 2025. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 6, 2025.