Provider Demographics
NPI:1154471670
Name:VELEZ, DEBRA STUDYVIN (APN)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:STUDYVIN
Last Name:VELEZ
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 W CAPITOL AVE
Mailing Address - Street 2:STE 210
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-3405
Mailing Address - Country:US
Mailing Address - Phone:501-324-2643
Mailing Address - Fax:501-324-2646
Practice Address - Street 1:425 W CAPITOL AVE
Practice Address - Street 2:STE 210
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-3405
Practice Address - Country:US
Practice Address - Phone:501-324-2643
Practice Address - Fax:501-324-2646
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAO1217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR138984758Medicaid
ARS82920Medicare UPIN
AR138984758Medicaid