MEDICARE: MS. NIKOLINA V ELEZ FNP

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	363LF0000X	Family Nurse Practitioner	RN139674	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1881987261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NIKOLINA V ELEZ FNP

Provider Business Mailing Address
First Line	:	2700 N CENTRAL AVE STE 1050
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1217
Country	:	US
Telephone Number	:	602-266-8402
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 S 7TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-3913
Country	:	US
Telephone Number	:	602-344-6600
Fax Number	:	602-344-6601

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

Provider Enumeration Date	:	05/18/2011
Last Update Date	:	08/18/2025

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