Provider Demographics
NPI:1316789340
Name:LONDONO ARIAS, VERONICA (FNP)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:LONDONO ARIAS
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:LONDONO ARIAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:2054 VISTA PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6742
Mailing Address - Country:US
Mailing Address - Phone:561-818-6357
Mailing Address - Fax:561-209-5157
Practice Address - Street 1:2054 VISTA PKWY STE 400
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-6742
Practice Address - Country:US
Practice Address - Phone:561-818-6357
Practice Address - Fax:561-209-5157
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11033213363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily