Individual
NICOLE F VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
144 EMERYVILLE DR STE 230, CRANBERRY TOWNSHIP, PA 16066-5015
(412) 206-2966
(412) 206-2966
Mailing address
144 EMERYVILLE DR STE 230, CRANBERRY TOWNSHIP, PA 16066-5015
(412) 206-2966
(412) 206-2966
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD451018
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD451018
PA
207ND0900X
Dermatopathology Physician
MD451018
PA
207NS0135X
Procedural Dermatology Physician
MD451018
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029155970003
—
PA
01
—
12596642
CAQH
PA
Enumeration date
06/03/2008
Last updated
02/22/2022
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