Provider Demographics
NPI:1508204124
Name:STINSON, VERONICA (LPN)
Entity Type:Individual
Prefix:MISS
First Name:VERONICA
Middle Name:
Last Name:STINSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 ALBEMARLE DR
Mailing Address - Street 2:APT 208
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-4385
Mailing Address - Country:US
Mailing Address - Phone:513-213-2117
Mailing Address - Fax:
Practice Address - Street 1:2200 ALBEMARLE DR
Practice Address - Street 2:APT 208
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-4385
Practice Address - Country:US
Practice Address - Phone:513-213-2117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH152527164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse