Individual
MRS. REVIA MICHELLE VENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3800 LOTTSFORD VISTA RD, SKILLED NURSING FACILITY-, MITCHELLVILLE, MD 20721-4018
(301) 832-2095
Mailing address
17101 ASPEN LEAF DRIVE, BOWIE, MD 20716-3643
(301) 464-2169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN56198
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0373178
—
DC
Enumeration date
01/02/2007
Last updated
01/17/2013
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