Healthcare Provider Details

I. General information

NPI: 1134010630
Provider Name (Legal Business Name): VELARA WELLNESS NURSING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10755 SCRIPPS POWAY PKWY STE F103
SAN DIEGO CA
92131-3924
US

IV. Provider business mailing address

10755 SCRIPPS POWAY PKWY STE F103
SAN DIEGO CA
92131-3924
US

V. Phone/Fax

Practice location:
  • Phone: 858-699-5040
  • Fax:
Mailing address:
  • Phone: 858-699-5040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MEGHAN ADELE MCCANN
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 858-699-5040