Provider Demographics
NPI:1942596267
Name:GREENWELL, VERONICA (MS)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:GREENWELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1619 FARRAGUT AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851
Mailing Address - Country:US
Mailing Address - Phone:301-586-7706
Mailing Address - Fax:
Practice Address - Street 1:1619 FARRAGUT AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20851-1440
Practice Address - Country:US
Practice Address - Phone:301-586-7706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula