Provider Demographics
NPI:1225888688
Name:VERAS, GERALDINE AGAPITO (LVN)
Entity Type:Individual
Prefix:
First Name:GERALDINE
Middle Name:AGAPITO
Last Name:VERAS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 CALLAN BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-5116
Mailing Address - Country:US
Mailing Address - Phone:650-267-1771
Mailing Address - Fax:
Practice Address - Street 1:3600 CALLAN BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-5116
Practice Address - Country:US
Practice Address - Phone:650-267-1771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA692865164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse