Individual provider · Type 1 NPI
Olivia Venneberg
Women's Health Nurse Practitioner · Ridgefield, WA
NPI number
1174490346
Active
Practice location
1147 N Fairhope Pl
Ridgefield, WA 98642-5575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 10051901 (OR) |
Women's Health Nurse Practitioner: Definition to come...
About NPI 1174490346
Olivia Venneberg's National Provider Identifier is 1174490346, issued on Oct 21, 2025. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Ridgefield, WA. The record was last updated on Oct 21, 2025.