Provider Demographics
NPI:1659000206
Name:VEREEN, SALVACION N
Entity Type:Individual
Prefix:
First Name:SALVACION
Middle Name:N
Last Name:VEREEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 VANDERBILT CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-5028
Mailing Address - Country:US
Mailing Address - Phone:702-769-8440
Mailing Address - Fax:
Practice Address - Street 1:1840 VANDERBILT CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-5028
Practice Address - Country:US
Practice Address - Phone:702-769-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator