Individual
BLAKE VELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5555
Mailing address
1200 E UNIVERSITY BLVD, TUCSON, AZ 85721-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
233553
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
233553
AZ
Other
Enumeration date
08/29/2022
Last updated
04/17/2025
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