Individual
MRS. ANGELA DENISE VENEZIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
801 WEST OAK STREET, SUITE 101, KISSIMMEE, FL 34741
(407) 846-3455
(407) 846-3670
Mailing address
801 WEST OAK STREET, SUITE 101, KISSIMMEE, FL 34741
(407) 846-3455
(407) 846-3670
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
9176614
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9176614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021632600
—
FL
01
—
500018342
RAILROAD MEDICARE
—
01
—
Y0106
BCBS
FL
Enumeration date
05/15/2006
Last updated
06/14/2022
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