Individual
MATTHEW VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24141 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-6024
(225) 274-5567
Mailing address
24141 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-6024
(225) 274-5567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN160866
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
234187
LA
Other
Enumeration date
07/17/2023
Last updated
12/17/2024
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