Provider Demographics
NPI:1396372132
Name:VENABLE, ASHIA NICHOLE (STNA)
Entity Type:Individual
Prefix:
First Name:ASHIA
Middle Name:NICHOLE
Last Name:VENABLE
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7205 CLAYBOURNE AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4548
Mailing Address - Country:US
Mailing Address - Phone:234-201-4583
Mailing Address - Fax:
Practice Address - Street 1:7205 CLAYBOURNE AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-4548
Practice Address - Country:US
Practice Address - Phone:234-201-4583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty