Healthcare Provider Details

I. General information

NPI: 1801603196
Provider Name (Legal Business Name): VERONICA CARAVEO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2024
Last Update Date: 12/11/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 N 13TH ST
PHOENIX AZ
85006-3400
US

IV. Provider business mailing address

4301 N 24TH ST APT 163
PHOENIX AZ
85016-6274
US

V. Phone/Fax

Practice location:
  • Phone: 602-257-3865
  • Fax:
Mailing address:
  • Phone: 602-476-4422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number290020
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: