Provider Demographics
NPI:1063244721
Name:VENTURA, MARIA ISABELL
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ISABELL
Last Name:VENTURA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 OAK ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-7684
Mailing Address - Country:US
Mailing Address - Phone:631-452-1891
Mailing Address - Fax:
Practice Address - Street 1:1102 OAK ISLAND DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-7684
Practice Address - Country:US
Practice Address - Phone:631-452-1891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider