Susan Ann Velarde

Individual provider Active NPI Medical Illustrator · Dulce, NM

NPI 1376685545 · NPPES record last updated Jun 2, 2008

Key facts

NPI
1376685545
Entity type
Individual (NPI type 1)
Primary specialty
Medical Illustrator 246ZI1000X
Practice address
12000 Stone Lake Drive
Dulce, NM 87528
Phone
(505) 759-7246
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Illustrator 246ZI1000X Yes

Addresses

Primary practice location

12000 Stone Lake Drive
Dulce, NM 87528

Mailing address

PO Box 804
Dulce, NM 87528-0804
Phone (505) 759-7246

Other identifiers

IdentifierTypeStateIssuer
000K3526MedicaidNM
HSZ196OtherNMMEDICARE PART B

Other providers in Dulce, NM

All providers in Dulce, NM · Medical Illustrator in New Mexico

Sources for this page

Verify at the official NPI Registry.