Venema, Heather Renee

Venema, Heather Renee is an individual health care provider with primary practice located at 13943 N 91St Ave Ste 101 , Peoria AZ 85381-3629. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Venema, Heather Renee can be contacted via phone (623) 254-7271.

Contact Information

Primary practice address
13943 N 91St Ave Ste 101 Peoria AZ 85381-3629
Fax: (888) 388-1953
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4516 Arizona

Profile Details

NPI number 1457584823
LBN Legal business name Venema, Heather Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2009
Last updated Aug 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457584823 NPPES
Arizona MEDICAID 163954

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