Vela, Leslie Ann
Vela, Leslie Ann is an individual health care provider with primary practice located at 2499 W Cota Dr , Bloomington IN 47403-4217. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vela, Leslie Ann can be contacted via phone (812) 337-0210.Contact Information
Primary practice address
2499 W Cota Dr
Bloomington IN 47403-4217
Phone: (812) 337-0210
Fax: (812) 337-0211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000976A | Indiana |
Profile Details
| NPI number | 1154491223 |
|---|---|
| LBN Legal business name | Vela, Leslie Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Nov 5th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154491223 | NPPES |
| Indiana | MEDICAID | 200859380C | |
| Indiana | MEDICAID | 200859380F | |
| Indiana | MEDICAID | 200859380J | |
| Indiana | MEDICAID | 200859380A |
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