Provider Demographics
NPI:1588697809
Name:VEILLETTE-CAREY, JANICE (APRN,PNPC,MS,BSN)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:VEILLETTE-CAREY
Suffix:
Gender:F
Credentials:APRN,PNPC,MS,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:141 E MAIN ST
Mailing Address - Street 2:4TH FLOOR ADMINISTRATION
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-2310
Mailing Address - Country:US
Mailing Address - Phone:203-574-9000
Mailing Address - Fax:203-574-9006
Practice Address - Street 1:141 E MAIN ST
Practice Address - Street 2:WELLMORE-WATERBURY CLINICAL SERVICES
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-2310
Practice Address - Country:US
Practice Address - Phone:203-756-7136
Practice Address - Fax:203-596-0722
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001962363LP0200X
CTE43486163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001962OtherUBH-CONNECTICARE (OTHER)
CT004202412Medicaid
CT060669107OtherUBH-OXFORD/LIBERTY WELLMORE GRP/FACILITY
CTQV8910OtherBEECH STREET (OTHER)
CT310083OtherMHN-MANAGED HEALTH NETWORK- WELLMORE
CT310083OtherMHN TRICARE NORTH -WELLMORE, INC
CT7779351OtherAETNA BEHAVIORAL HEALTH
CT872794OtherCIGNA BEHAVIORAL HEALTH/GREAT WEST
CT060669107OtherUBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY
CT12078439OtherCAQH
CT40000196CT01OtherANTHEM BCBS OF CT (OTHER)
CT060669107OtherUBH-CONNECTICARE WELLMORE GRP/FACILITY
CTCSP.0227836OtherCONTROLLED SUBSTANCE REGISTRATION FOR PRACTICONER
CT167942OtherWELLCARE
CT060669107OtherANTHEM BCBS OF CT - WELLMORE GRP/FACILITY
CT060669107OtherHEALTHYCT- WELLMORE GRP/FACILITY
CT26-21682OtherUBH-UHC (OTHER)
CTP32886OtherUBH-OXFORD/LIBERTY (OTHER)
CT060669107OtherUNITED BEHAVIORAL HEALTH-OPTUM WELLMORE INC GRP/FACILITY
CT060669107OtherUNITED BEHAVIORAL HEALTH-OPTUM WELLMORE INC GRP/FACILITY
CTP32886Medicare UPIN
CTD400009810Medicare PIN