MEDICARE: ANGELICA VELA MPH, RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	86344471	AZ

General Provider Information

NPI Number	:	1174461974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA VELA MPH, RDN

Provider Business Mailing Address
First Line	:	1810 W WIER AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-2224
Country	:	US
Telephone Number	:	602-448-9526
Fax Number	:

Provider Business Practice Location Address
First Line	:	13440 N 44TH ST APT 1068
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-6385
Country	:	US
Telephone Number	:	602-448-9526
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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