Demetra Venancio, PA-C
Physician Assistant, Medical in Fairfield, Connecticut
1891275731- Practice location
- 1055 Post RD, Fairfield, CT 06824-6019
- Phone
- 203-259-3440
- Fax
- —
- Last updated
- November 4, 2022
Demetra Venancio is a Physician Assistant, Medical based in Fairfield, CT. Demetra Venancio practices in Fairfield, CT and has the professional credentials of PA-C. The NPI Number for Demetra Venancio is 1891275731 and holds a License No. PA6723 (MA). The current practice location address for Demetra Venancio is 1055 Post RD, Fairfield, CT 06824-6019 and can be reached out via phone at 203-259-3440.
Provider Profile Details
- NPI Number
- 1891275731
- Provider Name
- Demetra Venancio
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1055 Post RD, Fairfield, CT 06824-6019
- Phone Number
- 203-259-3440
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 20, 2018
- Last Update Date
- November 4, 2022
- Certification Date
- November 4, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1055 Post RD
Fairfield, CT 06824-6019 - City
- Fairfield
- State
- Connecticut
- Zip
- 06824-6019
- Phone Number
- 203-259-3440
Provider Business Mailing Address Details
- Address
- 640 Centre St
Jamaica Plain, MA 02130-2555 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-2555
License Information
- License Number (1)
- PA6723
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 5815
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Demetra Venancio, PA-C?
The NPI number of Demetra Venancio, PA-C is 1891275731. It was assigned on August 20, 2018 and is currently active in the NPPES registry.
What is the specialty of Demetra Venancio, PA-C?
Demetra Venancio, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA6723.
Where does Demetra Venancio, PA-C practice?
The practice location is 1055 Post RD, Fairfield, CT 06824-6019. The office can be reached at 203-259-3440 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891275731 directly on the NPPES registry website.