Provider Demographics
NPI:1902410277
Name:VEAZEY, SHELBY L
Entity Type:Individual
Prefix:MS
First Name:SHELBY
Middle Name:L
Last Name:VEAZEY
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 1:863A LAFAYETTE AVE
Mailing Address - Street 2:GROUND
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-5913
Mailing Address - Country:US
Mailing Address - Phone:609-328-2588
Mailing Address - Fax:
Practice Address - Street 1:863A LAFAYETTE AVE
Practice Address - Street 2:GROUND
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-5913
Practice Address - Country:US
Practice Address - Phone:609-328-2588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula