Healthcare Provider Details

I. General information

NPI: 1063345395
Provider Name (Legal Business Name): ELISA VELEY MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CANAL ST
SALEM MA
01970-4558
US

IV. Provider business mailing address

585 LEBANON ST
MELROSE MA
02176-3298
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 215-913-1086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN2350226
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2350226
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: