Provider Demographics
NPI:1467035162
Name:VENN, KATHERINE HENTZ (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:HENTZ
Last Name:VENN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2144 N HUDSON AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4572
Mailing Address - Country:US
Mailing Address - Phone:843-412-4010
Mailing Address - Fax:
Practice Address - Street 1:2144 N HUDSON AVE STE 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-4572
Practice Address - Country:US
Practice Address - Phone:843-412-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209022180363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily