Provider Demographics
NPI:1194521989
Name:VELASQUEZ, ILANA DANIELLE (NP)
Entity type:Individual
Prefix:MRS
First Name:ILANA
Middle Name:DANIELLE
Last Name:VELASQUEZ
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:ILANA
Other - Middle Name:DANIELLE
Other - Last Name:EPSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5255 LOUGHBORO RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2696
Practice Address - Country:US
Practice Address - Phone:202-660-6500
Practice Address - Fax:202-660-6501
Is Sole Proprietor?:No
Enumeration Date:2025-02-21
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP1048605363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily