Provider Demographics
NPI:1477326791
Name:DEL ROSARIO, VENNIEVER ALO (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:VENNIEVER
Middle Name:ALO
Last Name:DEL ROSARIO
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4655 ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-2457
Mailing Address - Country:US
Mailing Address - Phone:216-632-0073
Mailing Address - Fax:
Practice Address - Street 1:34960 CENTER RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-3183
Practice Address - Country:US
Practice Address - Phone:440-327-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0034740363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily