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NPI Code Detail

MEDICARE: STEPHANIE VELEZ

MEDICARE: STEPHANIE VELEZ
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
1390200000XStudent in an Organized Health Care Education/Training Program7331NE
2183500000XPharmacist14616NE

General Provider Information

NPI Number : 1932409992
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE VELEZ
Provider Business Mailing Address
First Line : 5051 L ST
Second Line :
City : OMAHA
State : NE
Zip : 68117-1328
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5051 L ST
Second Line :
City : OMAHA
State : NE
Zip : 68117-1328
Country : US
Telephone Number : 402-541-0823
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2010
Last Update Date : 05/08/2018

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Directions to “ STEPHANIE VELEZ ” Practice Location

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