Individual
MORIAH VELLANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
98 RACKLEFF ST, PORTLAND, ME 04103-3054
(207) 215-5754
Mailing address
136 LINDEN DR STE 104, WINCHESTER, VA 22601-6900
(540) 504-0118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP221401
ME
Other
Enumeration date
07/19/2022
Last updated
11/29/2023
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