Provider Demographics
NPI:1083026900
Name:VEVE, JOANN LOURDES
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:LOURDES
Last Name:VEVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9261 TRACY TRL
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44130-5253
Mailing Address - Country:US
Mailing Address - Phone:440-390-8614
Mailing Address - Fax:
Practice Address - Street 1:9261 TRACY TRL
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44130-5253
Practice Address - Country:US
Practice Address - Phone:440-390-8614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0090045Medicaid