Vela, Leslie Ann

Vela, Leslie Ann is an individual health care provider with primary practice located at 2499 W Cota Dr , Bloomington IN 47403-4217. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vela, Leslie Ann can be contacted via phone (812) 337-0210.

Contact Information

Primary practice address
2499 W Cota Dr Bloomington IN 47403-4217
Fax: (812) 337-0211
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000976A Indiana

Profile Details

NPI number 1154491223
LBN Legal business name Vela, Leslie Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Nov 5th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154491223 NPPES
Indiana MEDICAID 200859380C
Indiana MEDICAID 200859380F
Indiana MEDICAID 200859380J
Indiana MEDICAID 200859380A

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