Provider Demographics
NPI:1225276728
Name:SMITH, VEOONICA ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:VEOONICA
Middle Name:ANN
Last Name:SMITH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22091 LIBBY RD
Mailing Address - Street 2:103AA
Mailing Address - City:BEDFORD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-6826
Mailing Address - Country:US
Mailing Address - Phone:440-945-6752
Mailing Address - Fax:440-945-6752
Practice Address - Street 1:22091 LIBBY RD
Practice Address - Street 2:103AA
Practice Address - City:BEDFORD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44146-6826
Practice Address - Country:US
Practice Address - Phone:440-945-6752
Practice Address - Fax:440-945-6752
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH345635163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse