Marisa Velasquez
Marisa Velasquez is a Nurse Practitioner in Reseda, California. Qualified in 2020, 6 years ago. Practices with Providence Facey Medical Foundation, a 323-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 6
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
18031 Victory BlvdReseda, CA 91335-6421
Phone: (559) 920-2922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Women's Health Nurse Practitioner (primary) | Taxonomy 363LW0102X · Licence 95016627 (CA) |
|---|
Record details
| NPI number | 1942897376 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 31, 2020 |
| Last updated in NPPES | May 7, 2024 |
| Certification date | December 21, 2021 |
| Mailing address | 18031 Victory Blvd, Reseda, CA 91335-6421 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Providence Facey Medical Foundation — 323 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |