Verneva Abbott

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Eureka, CA

NPI 1659823672 · NPPES record last updated May 25, 2018

Key facts

NPI
1659823672
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
759286 (CA)
Practice address
720 Wood St
Eureka, CA 95501
Phone
(707) 268-2990
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
759286CAMDPediatric Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 759286 CA
Pediatric Registered Nurse 163WP0200X 759286 CA
Psychiatric/Mental Health Registered Nurse 163WP0808X 759286 CA Yes

Addresses

Primary practice location

720 Wood St
Eureka, CA 95501

Mailing address

269 S Western Ave Unit D
Los Angeles, CA 90004-4103
Phone (805) 710-7997

Other practice location 1

333 Santa Fe Ave
Pismo Beach, CA 93449-1950
Phone (805) 710-7997

Other names

  • Verneva Abbott Professional name

Other providers in Eureka, CA

All providers in Eureka, CA · Psychiatric/Mental Health Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.