Individual
MRS. SHELLEY L VELICKOFF
Active
Individual
MRS. SHELLEY L VELICKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
71011005A
IN
363L00000X
Nurse Practitioner
AP60277759
WA
Other
Enumeration date
09/10/2012
Last updated
12/19/2024
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