Provider Demographics
NPI:1477383826
Name:FERUGLIO, VERONICA (PMHNP)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:FERUGLIO
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1138 E ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-4119
Mailing Address - Country:US
Mailing Address - Phone:602-826-5978
Mailing Address - Fax:
Practice Address - Street 1:1138 E ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-4119
Practice Address - Country:US
Practice Address - Phone:602-826-5978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN1628052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry