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MR. TIMOTHY FLETCHER-VELASCO FNP
NPI 1174252720
Nurse Practitioner - Family in Bonney Lake, WA

Active since June 08, 2022
19647 WA-410, BONNEY LAKE, WA 98391(253) 921-4569(253) 750-3475 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 13, 2023, Jan 3, 2023, Jun 8, 2022 (3 updates tracked since 2022).

About Mr. Timothy Fletcher-velasco Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY FLETCHER-VELASCO FNP (NPI 1174252720) is an individual family provider in Bonney Lake, Washington, licensed in Washington (AP61316769) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1174252720
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. TIMOTHY FLETCHER-VELASCOCredential: FNP
Location Address19647 WA-410Bonney Lake, WA 98391-9839
Mailing Address19647 Wa-410Bonney Lake, WA 98391 · (253) 921-4569 · Fax (253) 750-3475
Phone(253) 921-4569
Fax(253) 750-3475
Sole ProprietorYes
Enumeration DateJune 8, 2022
Last NPPES UpdateJanuary 13, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1174252720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP61316769
19647 WA-410, Bonney Lake, WA 98391
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Fletcher-velasco's NPI number?

The NPI number for Timothy Fletcher-velasco is 1174252720. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Timothy Fletcher-velasco located?

Timothy Fletcher-velasco practices at 19647 Wa-410, Bonney Lake, WA 98391. The listed phone number is (253) 921-4569.

What is Timothy Fletcher-velasco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Timothy Fletcher-velasco was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.