Provider Demographics
NPI:1144721960
Name:CHAPA, VERONICA ELAINE (LVN)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:ELAINE
Last Name:CHAPA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:ELAINE
Other - Last Name:KEYLICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:212 W COUNTY ROAD 5719
Mailing Address - Street 2:
Mailing Address - City:DEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:78016-4028
Mailing Address - Country:US
Mailing Address - Phone:210-621-7970
Mailing Address - Fax:
Practice Address - Street 1:212 W COUNTY ROAD 5719
Practice Address - Street 2:
Practice Address - City:DEVINE
Practice Address - State:TX
Practice Address - Zip Code:78016-4028
Practice Address - Country:US
Practice Address - Phone:210-621-7970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223167164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse