Healthcare Provider Details

I. General information

NPI: 1477383826
Provider Name (Legal Business Name): VERONICA FERUGLIO PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VERONICA GONZALEZ

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10217 N METRO PKWY W
PHOENIX AZ
85051-1438
US

IV. Provider business mailing address

10217 N METRO PKWY W
PHOENIX AZ
85051-1438
US

V. Phone/Fax

Practice location:
  • Phone: 602-997-9006
  • Fax:
Mailing address:
  • Phone: 602-997-9006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberRN162805
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: