Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 302480 | NY |
NPI | 1700317443 |
---|---|
Provider Name | April Michelle Roma Venn |
First Address | Norfolk, VA 23507-1910 |
Second Address | New York, NY 10032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2017 |
Last Update Date | 19/06/2020 |