Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ELLEN VENZKE
Active Sole ProprietorMARY ELLEN VENZKE is a Adult Companion healthcare provider located in BIG LAKE, Minnesota. NPI 1760704712 is currently active in the NPPES registry. Verify at CMS.
Adult Companion · BIG LAKE, MN
Registration Details
- NPI Number
- 1760704712
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 18, 2010 (16.523674869925 yrs)
- Last Updated
- Feb 18, 2010
- License
-
1055394-1-AFC (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19729 183RD AVENUEBIG LAKE, MN, 55309Browse MN providers · Browse ZIP 55309
- Phone
- 7632631119
- Primary Specialty
-
Adult Companion
372600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.