Individual
MRS. EMILY WILLIAMS VENATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, AGACNP-BC
Contact information
Practice address
6270 GASTON LOOP RD W, GRAND BAY, AL 36541-3478
(205) 299-2955
Mailing address
6270 GASTON LOOP RD W, GRAND BAY, AL 36541-3478
(205) 299-2955
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
VENA-FZV4ZH
MS
363LF0000X
Family Nurse Practitioner
VENA-FZV4ZH
MS
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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