Provider Demographics
NPI:1003657388
Name:NURSE RX
Entity type:Organization
Organization Name:NURSE RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:HAVEN
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CRNP
Authorized Official - Phone:410-200-3114
Mailing Address - Street 1:656 KIMBERLY WAY
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21666-2400
Mailing Address - Country:US
Mailing Address - Phone:410-200-8330
Mailing Address - Fax:
Practice Address - Street 1:BONNIE VELEZ, DNP, CRNP
Practice Address - Street 2:9 CHESTER PLZ
Practice Address - City:CHESTER
Practice Address - State:MD
Practice Address - Zip Code:21619-2418
Practice Address - Country:US
Practice Address - Phone:410-200-8330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty