NPI 1114081809

Neil Edwin Vera, PEERSUPPORT

Practitioner Peer Specialist Saint Cloud, MN

Practice location

Address: 4801 Veterans Dr, Saint Cloud, MN 56303-2015
Phone: (320) 252-1670
Mailing address: 4801 Veterans Drive Stc VA, St . Cloud, MN 56303

Registered specialties (2)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X Licence L0542186 (MN)

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Registry record

NPI: 1114081809
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2006
Record last updated: 7 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.