Provider Demographics
NPI:1679900948
Name:VEO, STACY (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:STACY
Middle Name:
Last Name:VEO
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 WATER TOWER PL # 1023
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-2248
Mailing Address - Country:US
Mailing Address - Phone:978-786-9300
Mailing Address - Fax:508-625-6733
Practice Address - Street 1:51 SAWTELLE RD
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-4719
Practice Address - Country:US
Practice Address - Phone:978-786-9300
Practice Address - Fax:508-625-6733
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN283884363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health