Basic Information
Provider Information
NPI: 1245200096
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALLENACKER
FirstName: VERONICA
MiddleName: ANNE
NamePrefix: MRS.
NameSuffix:  
Credential: R.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 555 SHORE RD
Address2: SUITE 200
City: SOMERS POINT
State: NJ
PostalCode: 082442469
CountryCode: US
TelephoneNumber: 6099261442
FaxNumber:  
Practice Location
Address1: 1 MUNRO DR
Address2: MEDICAL WARD
City: CAPE MAY
State: NJ
PostalCode: 082045000
CountryCode: US
TelephoneNumber: 6098986964
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/24/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X284258-1NYY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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