Provider Demographics
NPI:1912410119
Name:VENABLES, PAIGE MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:MARIE
Last Name:VENABLES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 MULLET RUN
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-5371
Mailing Address - Country:US
Mailing Address - Phone:302-459-5010
Mailing Address - Fax:302-487-1727
Practice Address - Street 1:310 MULLET RUN
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-5371
Practice Address - Country:US
Practice Address - Phone:302-459-5010
Practice Address - Fax:302-487-1727
Is Sole Proprietor?:No
Enumeration Date:2017-11-09
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant