Provider Demographics
NPI:1104478015
Name:PINHEIRO, VERIDIANA (APRN)
Entity type:Individual
Prefix:MRS
First Name:VERIDIANA
Middle Name:
Last Name:PINHEIRO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 WHITEHALL DR APT 201
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-6920
Mailing Address - Country:US
Mailing Address - Phone:954-882-3651
Mailing Address - Fax:
Practice Address - Street 1:1709 WHITEHALL DR APT 201
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-6920
Practice Address - Country:US
Practice Address - Phone:954-882-3651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-10
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9314916163WM0705X
FL11004118363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical