Provider Demographics
NPI:1720442023
Name:LERMA, VERONICA (FNP)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:LERMA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 LAKE CLARK
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-1974
Mailing Address - Country:US
Mailing Address - Phone:956-740-2102
Mailing Address - Fax:
Practice Address - Street 1:6828 SPRINGFIELD AVE
Practice Address - Street 2:SUITE 3 AND 4
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2286
Practice Address - Country:US
Practice Address - Phone:956-791-8008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127710363LF0000X
TX728550163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse