Provider Demographics
NPI:1679061162
Name:VECCHIO, MONETTE I
Entity type:Individual
Prefix:
First Name:MONETTE
Middle Name:
Last Name:VECCHIO
Suffix:I
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 1:399 COUNTY ROAD 229
Mailing Address - Street 2:
Mailing Address - City:CONCEPCION
Mailing Address - State:TX
Mailing Address - Zip Code:78349-3511
Mailing Address - Country:US
Mailing Address - Phone:361-209-2161
Mailing Address - Fax:
Practice Address - Street 1:800 N SHORELINE BLVD STE 700S
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401-3718
Practice Address - Country:US
Practice Address - Phone:361-937-7887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332912164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse