Provider Demographics
NPI:1851482285
Name:ENGLE, VERONICA FRANCES (PHD, RN, GNP, FAAN)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:FRANCES
Last Name:ENGLE
Suffix:
Gender:F
Credentials:PHD, RN, GNP, FAAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:877 MADISON AVE
Mailing Address - Street 2:ROOM 616
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38163-0001
Mailing Address - Country:US
Mailing Address - Phone:901-448-6142
Mailing Address - Fax:901-448-4121
Practice Address - Street 1:920 MADISON AVE
Practice Address - Street 2:SUITE 507N
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163-0001
Practice Address - Country:US
Practice Address - Phone:901-448-1584
Practice Address - Fax:901-448-1762
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNACU48171100000X
TNAPN 6044363LG0600X
TNAPN6044364SH1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Not Answered364SH1100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHolistic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP86497Medicare UPIN