Organization
BEACON ADVANCED PRACTICE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA VELLA APRN, FNP-BC, WCC (OWNER / AUTHORIZED OFFICIAL)
(904) 366-9981
Entity
Organization
Contact information
Practice address
335 TAMAR CT, ST AUGUSTINE, FL 32095-7539
(904) 366-9981
(629) 899-7995
Mailing address
335 TAMAR CT, ST AUGUSTINE, FL 32095-7539
(904) 366-9981
(629) 899-7995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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