Provider Demographics
NPI:1245537729
Name:MCVEIGH, MAE IDA
Entity type:Individual
Prefix:
First Name:MAE
Middle Name:IDA
Last Name:MCVEIGH
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 1:2346 OPPIO ST
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-1926
Mailing Address - Country:US
Mailing Address - Phone:775-331-3072
Mailing Address - Fax:
Practice Address - Street 1:2346 OPPIO ST
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-1926
Practice Address - Country:US
Practice Address - Phone:775-331-3072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker