Individual
NEIL EDWIN VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
4801 VETERANS DRIVE, STC VA, ST . CLOUD, MN 56303
(320) 252-1670
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
L0542186
MN
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
03/07/2025
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