Provider Demographics
NPI:1710593116
Name:VEITH, RHONDA SUE (LPN)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:SUE
Last Name:VEITH
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 1:6232 GOSIER RD
Mailing Address - Street 2:
Mailing Address - City:CAPE VINCENT
Mailing Address - State:NY
Mailing Address - Zip Code:13618-3111
Mailing Address - Country:US
Mailing Address - Phone:315-783-3951
Mailing Address - Fax:
Practice Address - Street 1:6232 GOSIER RD
Practice Address - Street 2:
Practice Address - City:CAPE VINCENT
Practice Address - State:NY
Practice Address - Zip Code:13618-3111
Practice Address - Country:US
Practice Address - Phone:315-783-3951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195044-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse