Provider Demographics
NPI:1609559608
Name:AUGUSTO, VERONICA (CERTIFIED NURSE ASSI)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:
Last Name:AUGUSTO
Suffix:
Gender:F
Credentials:CERTIFIED NURSE ASSI
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:AUGUSTO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:VEE'S PRIVATE CNA HE
Mailing Address - Street 1:4701 MULFORD RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-2615
Mailing Address - Country:US
Mailing Address - Phone:804-591-8426
Mailing Address - Fax:
Practice Address - Street 1:4701 MULFORD RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-2615
Practice Address - Country:US
Practice Address - Phone:804-591-8426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT62991251171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach