Provider Demographics
NPI:1689777831
Name:VELLA, FRANCES A (FNP)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:A
Last Name:VELLA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13365-1300
Mailing Address - Country:US
Mailing Address - Phone:315-823-0351
Mailing Address - Fax:315-823-1889
Practice Address - Street 1:175 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NY
Practice Address - Zip Code:13365-1300
Practice Address - Country:US
Practice Address - Phone:315-823-0351
Practice Address - Fax:315-823-1889
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330780207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP06463Medicare UPIN
NY56913BMedicare ID - Type Unspecified