Healthcare Provider Details

I. General information

NPI: 1528991700
Provider Name (Legal Business Name): BRITTANY MICHELLE VENTURA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E 15TH ST
MERCED CA
95341-6217
US

IV. Provider business mailing address

366 BROOKDALE DR
MERCED CA
95340-1327
US

V. Phone/Fax

Practice location:
  • Phone: 209-381-6879
  • Fax:
Mailing address:
  • Phone: 209-480-8255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number744278
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: