Provider Demographics
NPI:1770156051
Name:VELEZ, MONICA IVETT (APRN-FNP-BC)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:IVETT
Last Name:VELEZ
Suffix:
Gender:F
Credentials:APRN-FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3571
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:AK
Mailing Address - Zip Code:99559-3571
Mailing Address - Country:US
Mailing Address - Phone:956-888-1989
Mailing Address - Fax:
Practice Address - Street 1:1023 SQUAW VALLEY DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-9212
Practice Address - Country:US
Practice Address - Phone:956-888-1989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1059911363LF0000X
AK194073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX090210Medicaid