Provider Demographics
NPI:1164906855
Name:MCRAE, VENUS MONE' (RN)
Entity Type:Individual
Prefix:MRS
First Name:VENUS
Middle Name:MONE'
Last Name:MCRAE
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 1:409 BELMONT DR
Mailing Address - Street 2:
Mailing Address - City:PALATKA
Mailing Address - State:FL
Mailing Address - Zip Code:32177-6405
Mailing Address - Country:US
Mailing Address - Phone:386-972-9663
Mailing Address - Fax:
Practice Address - Street 1:409 BELMONT DR
Practice Address - Street 2:
Practice Address - City:PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32177-6405
Practice Address - Country:US
Practice Address - Phone:386-972-9663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9383025163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical