MEDICARE: VERONICA M NERIA

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1629372917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA M NERIA

Provider Business Mailing Address
First Line	:	PO BOX 151988
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33915-1988
Country	:	US
Telephone Number	:	239-362-5552
Fax Number	:	239-574-9451

Provider Business Practice Location Address
First Line	:	72 PONDELLA RD
Second Line	:
City	:	N FORT MYERS
State	:	FL
Zip	:	33903-4402
Country	:	US
Telephone Number	:	239-362-5552
Fax Number	:	239-574-9451

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

Provider Enumeration Date	:	12/31/2010
Last Update Date	:	12/31/2010

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Directions to “ VERONICA M NERIA ” Practice Location

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