Provider Demographics
NPI:1508302407
Name:VENAGLIA, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:VENAGLIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12306 HILLCREEK TURN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-6816
Mailing Address - Country:US
Mailing Address - Phone:804-236-6661
Mailing Address - Fax:
Practice Address - Street 1:27 GROVESIDE DR
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-7070
Practice Address - Country:US
Practice Address - Phone:949-444-2260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-16
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula