Provider Demographics
NPI:1255527289
Name:VENABLE, ARLENE (RN)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:VENABLE
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 1:9801 MUIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-5337
Mailing Address - Country:US
Mailing Address - Phone:240-423-3000
Mailing Address - Fax:240-244-5022
Practice Address - Street 1:9801 MUIRFIELD DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-5337
Practice Address - Country:US
Practice Address - Phone:240-423-3000
Practice Address - Fax:240-244-5022
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN59520163WH0200X, 163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy