Provider Demographics
NPI:1528492162
Name:DE OCA, ANA MARIA VELASCO (RN, MSN,NP-C, APRN)
Entity type:Individual
Prefix:
First Name:ANA MARIA
Middle Name:VELASCO
Last Name:DE OCA
Suffix:
Gender:F
Credentials:RN, MSN,NP-C, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6355 S BUFFALO DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2133
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:
Practice Address - Street 1:2880 N TENAYA WAY STE 340
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0642
Practice Address - Country:US
Practice Address - Phone:702-255-3547
Practice Address - Fax:702-307-2204
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-31
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX715254363LF0000X
CA23577363LF0000X
NV820311363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV820311OtherNP