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NPI Code Detail

MEDICARE: VENITA ELISE BERRY RN

MEDICARE: VENITA ELISE BERRY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse461839OH

General Provider Information

NPI Number : 1780282145
Entity Type Code : Individual
Provider Name (Legal Business Name) : VENITA ELISE BERRY RN
Provider Business Mailing Address
First Line : 2734 OXFORD AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-4336
Country : US
Telephone Number : 937-241-1258
Fax Number :
Provider Business Practice Location Address
First Line : 2734 OXFORD AVE
Second Line :
City : DAYTON
State : OH
Zip : 45406-4336
Country : US
Telephone Number : 937-241-1258
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2020
Last Update Date : 10/16/2020

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Directions to “ VENITA ELISE BERRY RN” Practice Location

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