Provider Demographics
NPI:1760736847
Name:AREVALO, VERONICA (LSA, APRN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:
Last Name:AREVALO
Suffix:
Gender:F
Credentials:LSA, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6181 SARATOGA BLVD
Mailing Address - Street 2:UNIT 117
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-2475
Mailing Address - Country:US
Mailing Address - Phone:361-444-5148
Mailing Address - Fax:361-444-5495
Practice Address - Street 1:613 ELIZABETH ST STE 804
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2231
Practice Address - Country:US
Practice Address - Phone:361-902-4343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-29
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX134194246ZC0007X
TX1050107363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8LW190OtherBCBS - BLUE STAR SURGICAL ASSISTANTS LLC
TX8LW317OtherBCBS - UNIVERSAL SURGICAL PARTNERS INC
TX8LY833OtherBCBS - XCITE SURGICAL
TX8LV716OtherBCBS - UNIVERSAL SURGICAL ASSISTANTS
TXSA00681OtherTEXAS MEDICAL BOARD