Individual
LESLIE ANN VELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2499 W COTA DR, BLOOMINGTON, IN 47403-4217
(812) 337-0210
(812) 337-0211
Mailing address
PO BOX 5637, BLOOMINGTON, IN 47407-5637
(812) 337-5003
(812) 337-5010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000976A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200859380A
—
IN
05
—
200859380C
—
IN
05
—
200859380F
—
IN
05
—
200859380J
—
IN
Enumeration date
11/08/2006
Last updated
11/05/2010
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