Provider Demographics
NPI:1467520973
Name:VETERE, DONNA A (RN)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:A
Last Name:VETERE
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 1:258 WYANDANCH RD
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-2231
Mailing Address - Country:US
Mailing Address - Phone:631-563-9312
Mailing Address - Fax:631-589-9371
Practice Address - Street 1:258 WYANDANCH RD
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-2231
Practice Address - Country:US
Practice Address - Phone:631-563-9312
Practice Address - Fax:631-589-9371
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY388682-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01559659Medicaid