Healthcare Provider Details

I. General information

NPI: 1538135306
Provider Name (Legal Business Name): JUDITH T. VEON APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 03/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 GREENVILLE RD
MERCER PA
16137-5019
US

IV. Provider business mailing address

699 E STATE ST
SHARON PA
16146-2057
US

V. Phone/Fax

Practice location:
  • Phone: 724-662-3831
  • Fax: 724-662-3836
Mailing address:
  • Phone: 724-983-3820
  • Fax: 724-983-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN134545L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier137998
Identifier TypeOTHER
Identifier State
Identifier IssuerTRICARE
# 2
Identifier2025017
Identifier TypeOTHER
Identifier State
Identifier IssuerCIGNA
# 3
IdentifierVE829847
Identifier TypeOTHER
Identifier State
Identifier IssuerHIGHMARK
# 4
Identifier229525000
Identifier TypeOTHER
Identifier State
Identifier IssuerMAGELLAN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: