Provider Demographics
NPI:1952654527
Name:SMITH, VERONICA (RN, MSN,ARNP)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:RN, MSN,ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3473 LOCKHART HWY
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:SC
Mailing Address - Zip Code:29379-8526
Mailing Address - Country:US
Mailing Address - Phone:864-441-4050
Mailing Address - Fax:
Practice Address - Street 1:3473 LOCKHART HWY
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379-8526
Practice Address - Country:US
Practice Address - Phone:864-441-8570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1769542163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health