Individual provider · Type 1 NPI

Blake Vela

Pediatric Nurse Practitioner · Glendale, AZ

NPI number 1245950401 Active

Practice location

5555 W Thunderbird Rd
Glendale, AZ 85306-4622

Mailing address

1200 E University Blvd
Tucson, AZ 85721-0001

Other practice locations

  • 2301 E Parkside Ln, Phoenix, AZ 85024-7595 · (303) 916-0242

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X233553 (AZ)
Pediatric Nurse Practitioner Primary 363LP0200X233553 (AZ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1245950401

Blake Vela's National Provider Identifier is 1245950401, issued on Aug 29, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Glendale, AZ. The record was last updated on Apr 17, 2025.