Provider Demographics
NPI:1508408840
Name:HANSEN-VELA, FELICIA (APRN)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:HANSEN-VELA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:NICOLE
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, FNP, PMHNP
Mailing Address - Street 1:152 ROSEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8835
Mailing Address - Country:US
Mailing Address - Phone:772-370-4899
Mailing Address - Fax:
Practice Address - Street 1:6650 W INDIANTOWN RD STE 110
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4629
Practice Address - Country:US
Practice Address - Phone:722-370-4899
Practice Address - Fax:772-261-6099
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-08
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002993363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty