Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ivan Velazquez

Individual provider Ambulatory Care Registered Nurse · NPI 1790660041

Mr. Ivan Velazquez is an Ambulatory Care Registered Nurse in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025
Specialties on file
2

Practice location Address checks out

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone: (480) 342-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence RN195012 (AZ)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN195012 (AZ)

Record details

NPI number1790660041
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address5777 E Mayo Blvd, Phoenix, AZ 85054-4502

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