Provider Demographics
NPI:1649686981
Name:BROWN DAVIS, VERONICA MICHELLE
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:MICHELLE
Last Name:BROWN DAVIS
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 1:1900 LA VILLA DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-5589
Mailing Address - Country:US
Mailing Address - Phone:702-808-1173
Mailing Address - Fax:
Practice Address - Street 1:1900 LA VILLA DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-5589
Practice Address - Country:US
Practice Address - Phone:702-808-1173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-08
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor