Healthcare Provider Details

I. General information

NPI: 1528437092
Provider Name (Legal Business Name): VELDA ALEXANDRE BSN-RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2015
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CONGRESS ST STE 2G
QUINCY MA
02169-0960
US

IV. Provider business mailing address

500 CONGRESS ST STE 2G
QUINCY MA
02169-0960
US

V. Phone/Fax

Practice location:
  • Phone: 617-481-6949
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2293434
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: