Provider Demographics
NPI:1376911743
Name:COOTE-JANES, VERONA ROSEMARIE
Entity type:Individual
Prefix:MRS
First Name:VERONA
Middle Name:ROSEMARIE
Last Name:COOTE-JANES
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 1:11042 W SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-2631
Mailing Address - Country:US
Mailing Address - Phone:954-279-3941
Mailing Address - Fax:954-603-6609
Practice Address - Street 1:11042 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-2631
Practice Address - Country:US
Practice Address - Phone:954-279-3941
Practice Address - Fax:954-603-6609
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-02
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5208140164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse