Provider Demographics
NPI:1629812219
Name:KAPPLER, VERONICA IRENE (RN)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:IRENE
Last Name:KAPPLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33366 480TH AVE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:SD
Mailing Address - Zip Code:57038-6826
Mailing Address - Country:US
Mailing Address - Phone:712-223-3382
Mailing Address - Fax:
Practice Address - Street 1:6101 PERSHING ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51111-1329
Practice Address - Country:US
Practice Address - Phone:712-223-3382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA120301163WF0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WF0300XNursing Service ProvidersRegistered NurseFlight