Individual
MANDY JO VENABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1151 LANE 6, POWELL, WY 82435-9717
(307) 202-1137
Mailing address
3620 49TH AVE SW, OLYMPIA, WA 98512-6604
(307) 254-4874
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22359
WY
163W00000X
Registered Nurse
Primary
RN00149963
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120691500
—
WY
Enumeration date
05/07/2007
Last updated
03/13/2026
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