Provider Demographics
NPI:1871006833
Name:LABI, VERA
Entity Type:Individual
Prefix:
First Name:VERA
Middle Name:
Last Name:LABI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 E CENTRAL ST UNIT 265
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01613-4413
Mailing Address - Country:US
Mailing Address - Phone:919-274-9725
Mailing Address - Fax:
Practice Address - Street 1:11 CARLSTAD ST APT 2
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01607-1569
Practice Address - Country:US
Practice Address - Phone:919-274-9725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN91455164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse