MR. TIMOTHY FLETCHER-VELASCO FNP NPI 1174252720

NPI Information

  • NPI: 1174252720
  • Provider Name: MR. TIMOTHY FLETCHER-VELASCO, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 19647 WA-410
    BONNEY LAKE, WA
    ZIP 98391
  • Phone: (253) 921-4569

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NPI Details

MR. Timothy Fletcher-velasco, FNP is a family nurse practitioner in Bonney Lake, WA. MR. Timothy Fletcher-velasco, FNP NPI is 1174252720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19647 WA-410
BONNEY LAKE, WA
ZIP 98391-839
Phone: (253) 921-4569
Fax: (253) 750-3475

The enumeration date for this NPI number is 6/8/2022 and was last updated on 1/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP61316769WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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