Provider Demographics
NPI:1194071332
Name:CONNORS, VENUS J (RN)
Entity type:Individual
Prefix:MRS
First Name:VENUS
Middle Name:J
Last Name:CONNORS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9529 FORDHAM RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-2612
Mailing Address - Country:US
Mailing Address - Phone:267-335-1508
Mailing Address - Fax:215-381-1530
Practice Address - Street 1:5457 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-3433
Practice Address - Country:US
Practice Address - Phone:267-335-1500
Practice Address - Fax:215-381-1530
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN521135L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse