Provider Demographics
NPI:1376131466
Name:KIARIE, VERONICA LYNETTE (RN)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:LYNETTE
Last Name:KIARIE
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 1:17231 COVENTRY LN
Mailing Address - Street 2:
Mailing Address - City:COUNTRY CLUB HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60478-4632
Mailing Address - Country:US
Mailing Address - Phone:708-799-7919
Mailing Address - Fax:
Practice Address - Street 1:17231 COVENTRY LN
Practice Address - Street 2:
Practice Address - City:COUNTRY CLUB HILLS
Practice Address - State:IL
Practice Address - Zip Code:60478-4632
Practice Address - Country:US
Practice Address - Phone:708-799-7919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-313246163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency