MEDICARE: NELLY ELENA TELLEZ-ROSALES APRN

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	363L00000X	Nurse Practitioner	AP129191	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	445314YLPS	OTHER	TX	WELLMED MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598135824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NELLY ELENA TELLEZ-ROSALES APRN

Provider Business Mailing Address
First Line	:	13 UVALDE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-1416
Country	:	US
Telephone Number	:	888-478-8432
Fax Number	:	346-998-4264

Provider Business Practice Location Address
First Line	:	13 UVALDE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-1416
Country	:	US
Telephone Number	:	888-478-8432
Fax Number	:	346-998-4264

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

Provider Enumeration Date	:	09/29/2015
Last Update Date	:	05/08/2026

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Directions to “ NELLY ELENA TELLEZ-ROSALES APRN” Practice Location

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