Provider Demographics
NPI:1093896136
Name:CIACCIO, VERONICA LEIGH (RNFA)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:LEIGH
Last Name:CIACCIO
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:MS
Other - First Name:VERONICA
Other - Middle Name:LEIGH
Other - Last Name:PRISELER-CIACCIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNFA
Mailing Address - Street 1:PO BOX 26263
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-6263
Mailing Address - Country:US
Mailing Address - Phone:559-281-0031
Mailing Address - Fax:
Practice Address - Street 1:6125 N FRESNO ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5207
Practice Address - Country:US
Practice Address - Phone:559-431-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA595978163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant