Provider Demographics
NPI:1538749189
Name:FIATI, VERONIQUE
Entity type:Individual
Prefix:
First Name:VERONIQUE
Middle Name:
Last Name:FIATI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11417 JULY DR APT 202
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3607
Mailing Address - Country:US
Mailing Address - Phone:301-213-1579
Mailing Address - Fax:
Practice Address - Street 1:3700 9TH ST SE APT 614
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4043
Practice Address - Country:US
Practice Address - Phone:202-536-0768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00140204372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion