Provider Demographics
NPI:1073248472
Name:BAAH, VERONICA (FNP)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:BAAH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:LARBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8101 COOPER ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-1007
Mailing Address - Country:US
Mailing Address - Phone:703-863-7265
Mailing Address - Fax:
Practice Address - Street 1:217 GLENSFORD DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-0892
Practice Address - Country:US
Practice Address - Phone:540-373-2424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024182995363LF0000X
NC5019528363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily