Provider Demographics
NPI:1598063745
Name:QUEST, VERONA V (LPN)
Entity Type:Individual
Prefix:MRS
First Name:VERONA
Middle Name:V
Last Name:QUEST
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 1:11474 204TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:NY
Mailing Address - Zip Code:11412-2817
Mailing Address - Country:US
Mailing Address - Phone:718-468-5021
Mailing Address - Fax:718-468-5021
Practice Address - Street 1:11474 204TH ST
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11412-2817
Practice Address - Country:US
Practice Address - Phone:718-468-5021
Practice Address - Fax:718-468-5021
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304750164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse