DEMETRA VENANCIO PA-C NPI 1891275731

NPI Information

NPI: 1891275731
Provider Name: DEMETRA VENANCIO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1055 POST RD
FAIRFIELD, CT
ZIP 06824
Phone: (203) 259-3440
Get Directions

Demetra Venancio, PA-C is a medical physician assistant in Fairfield, CT with 6 years of experience. Demetra Venancio, PA-C NPI is 1891275731. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1055 POST RD
FAIRFIELD, CT
ZIP 06824-019
Phone: (203) 259-3440

The NPI 1891275731 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2018 and was last updated on 11/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA6723	MASSACHUSETTS	No
2	363AM0700X	Physician Assistant	Medical	5815	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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