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Contact Information

SHELLEY L VELICKOFF, A.N.P.
124 SAGAMORE PKWY W.
WEST LAFAYETTE, IN47906
 Phone: 765-463-6722
 Fax: 765-463-0905
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHELLEY L VELICKOFF · (Female)

NPI # 1811246531
Status Active
Credentials A.N.P.
Entity Individual
Enumeration date 09/10/2012
Last updated 12/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 71011005A
  • WA License # AP60277759
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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