Healthcare Provider Details

I. General information

NPI: 1518789494
Provider Name (Legal Business Name): BEATRIZ J VELEZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BEATRIZ J MORALES

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-9800
US

IV. Provider business mailing address

109 FAIRVIEW DR
SELINSGROVE PA
17870-9406
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6211
  • Fax:
Mailing address:
  • Phone: 609-349-3293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN775150
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: