Provider Demographics
NPI:1194906966
Name:NEVELUS, SALETTE (NURSE)
Entity type:Individual
Prefix:
First Name:SALETTE
Middle Name:
Last Name:NEVELUS
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10656 OLD HAMMOCK WAY
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-3148
Mailing Address - Country:US
Mailing Address - Phone:561-236-0252
Mailing Address - Fax:561-282-6870
Practice Address - Street 1:10656 OLD HAMMOCK WAY
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-3148
Practice Address - Country:US
Practice Address - Phone:561-236-0252
Practice Address - Fax:561-282-6870
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5151254164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse