Organization Name: | CYNTHIA A. VELLA N.P. LLC |
NPI Number: | 1689817728 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA A VELLA (OWNER/MANAGER) |
Mailing Address: | 22 Pleasant St West Bridgewater |
State: | MA US |
Postal Code: | 023791506 |
Phone Number: | 5085661155 |
Fax Number: | 5085633602 |
NPI Enumeration Date: | 04/18/2009 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 169978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |