Individual
MRS. VERONICA PENA VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
496 LYNNFIELD ST, SUITE 201, LYNN, MA 01904-1423
(781) 593-3400
(781) 477-1187
Mailing address
PO BOX 930, SALEM, MA 01970
(978) 825-6591
(978) 825-7070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
198590
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0700169
—
MA
Enumeration date
05/25/2006
Last updated
02/13/2009
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