Provider Demographics
NPI:1811061112
Name:VELARDE, MARGARITA (CFNP)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:VELARDE
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2884
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20167-2884
Mailing Address - Country:US
Mailing Address - Phone:301-496-2348
Mailing Address - Fax:301-402-1608
Practice Address - Street 1:BUILDING 10, ROOM 13N240
Practice Address - Street 2:10 CENTER DRIVE, MSC 1903
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1903
Practice Address - Country:US
Practice Address - Phone:301-496-2348
Practice Address - Fax:301-402-1608
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC000324363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily