Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 02006469A | IN |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 34.013172 | OH |
NPI | 1053774901 |
---|---|
Provider Name | Dr. Charlotte Venious |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-1239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2016 |
Last Update Date | 23/08/2021 |