Healthcare Provider Details

I. General information

NPI: 1932164142
Provider Name (Legal Business Name): JOSEPHINE G VELLA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1666 NW 12TH AVE
MIAMI FL
33101-6960
US

IV. Provider business mailing address

55 WATER ST FL 12
NEW YORK NY
10041-0004
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-5224
  • Fax: 305-243-8470
Mailing address:
  • Phone: 646-680-2888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number333710
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP2586542
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: