MEDICARE: JUDITH T. VEON APRN, BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0807X	Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist	RN134545L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	137998	OTHER	TRICARE
2	2025017	OTHER	CIGNA
3	VE829847	OTHER	HIGHMARK
4	229525000	OTHER	MAGELLAN

General Provider Information

NPI Number	:	1538135306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH T. VEON APRN, BC

Provider Business Mailing Address
First Line	:	699 E STATE ST
Second Line	:
City	:	SHARON
State	:	PA
Zip	:	16146-2057
Country	:	US
Telephone Number	:	724-983-3820
Fax Number	:	724-983-3941

Provider Business Practice Location Address
First Line	:	551 GREENVILLE RD
Second Line	:
City	:	MERCER
State	:	PA
Zip	:	16137-5019
Country	:	US
Telephone Number	:	724-662-3831
Fax Number	:	724-662-3836

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	03/23/2009

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