Provider Demographics
NPI:1366634883
Name:SCHWANKE, VENEIZA (ARNP-C)
Entity Type:Individual
Prefix:
First Name:VENEIZA
Middle Name:
Last Name:SCHWANKE
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 S PINE AVE STE C
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-4931
Mailing Address - Country:US
Mailing Address - Phone:352-817-8469
Mailing Address - Fax:352-369-0168
Practice Address - Street 1:3910 S PINE AVE STE C
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-4931
Practice Address - Country:US
Practice Address - Phone:352-817-8469
Practice Address - Fax:352-369-0168
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9242707363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health