Provider Demographics
NPI:1063821734
Name:VELAZQUEZ, PRISCILLA (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:
Last Name:VELAZQUEZ
Suffix:
Gender:
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:PRISCILLA
Other - Middle Name:
Other - Last Name:NIETO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3025 CYPRESS GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7474
Mailing Address - Country:US
Mailing Address - Phone:956-245-3390
Mailing Address - Fax:956-299-5456
Practice Address - Street 1:1821 SESAME SQUARE
Practice Address - Street 2:SUITE 2
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-9289
Practice Address - Country:US
Practice Address - Phone:956-299-2150
Practice Address - Fax:956-299-5456
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125980363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP125980OtherFNP LICENSE