Provider Demographics
NPI:1669151551
Name:VENO, MORGAN (FNP-BC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:VENO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8333 WILLOW BROOK RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE GENESEE
Mailing Address - State:NY
Mailing Address - Zip Code:14754-9702
Mailing Address - Country:US
Mailing Address - Phone:607-590-5749
Mailing Address - Fax:
Practice Address - Street 1:135 N UNION ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-2736
Practice Address - Country:US
Practice Address - Phone:716-375-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF351993-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily