Provider Demographics
NPI:1679634059
Name:GREENAN, VERONICA MARIE (RN,BSN,APN-C)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:MARIE
Last Name:GREENAN
Suffix:
Gender:F
Credentials:RN,BSN,APN-C
Other - Prefix:
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Mailing Address - Street 1:207 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-2508
Mailing Address - Country:US
Mailing Address - Phone:201-265-2061
Mailing Address - Fax:201-784-9400
Practice Address - Street 1:595 CHESTNUT RIDGE RD STE 6
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-7667
Practice Address - Country:US
Practice Address - Phone:201-505-9595
Practice Address - Fax:201-505-9474
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NN04924600363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health