Provider Demographics
NPI:1023100989
Name:CANINO, VERONICA O (RN, MSN, NP-C)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:O
Last Name:CANINO
Suffix:
Gender:F
Credentials:RN, MSN, NP-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VETERANS AFFAIRS MEDICAL CENTER-PRIMARY CARE CLINIC
Mailing Address - Street 2:1601 KIRKWOOD HIGHWAY
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19905
Mailing Address - Country:US
Mailing Address - Phone:302-633-5454
Mailing Address - Fax:302-633-5590
Practice Address - Street 1:VETERANS AFFAIRS MEDICAL CENTER-PRIMARY CARE CLINIC
Practice Address - Street 2:1601 KIRKWOOD HIGHWAY
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19905
Practice Address - Country:US
Practice Address - Phone:302-633-5454
Practice Address - Fax:302-633-5590
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN299503L163W00000X
DEL1-0022948163W00000X
NJ26NN06938000363LF0000X
PAVP004641B363LF0000X
DELG-0000206363LF0000X
NJ163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ017964CPCMedicare UPIN