Provider Demographics
NPI:1457656787
Name:VEEDER, ALLISON MARY (NP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MARY
Last Name:VEEDER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 MAINE ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1360
Mailing Address - Country:US
Mailing Address - Phone:785-505-5000
Mailing Address - Fax:
Practice Address - Street 1:1316 MORGAN CT
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3967
Practice Address - Country:US
Practice Address - Phone:785-749-7576
Practice Address - Fax:785-331-2234
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75315-062363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily