| Mrs Revia Michelle Veney, CRNP | |
| 
					3800 Lottsford Vista Rd, Skilled Nursing Facility-, Mitchellville, MD 20721-4018  | |
| (301) 832-2095 | |
| Not Available | 
| Full Name | Mrs Revia Michelle Veney | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 3800 Lottsford Vista Rd, Mitchellville, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1861559825 | NPI | - | NPPES | 
| 0373178 | Medicaid | DC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN56198 (District Of Columbia) | Primary | 
| Entity Name | Five Star Physician Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083654479 PECOS PAC ID: 3779572862 Enrollment ID: O20040512000797  | 
| Entity Name | M Medical Group, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780056168 PECOS PAC ID: 7719278597 Enrollment ID: O20160627000350  | 
| Entity Name | Grow Healthcare Group Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Revia Michelle Veney, CRNP 17101 Aspen Leaf Drive, Bowie, MD 20716-3643 Ph: (301) 464-2169  | Mrs Revia Michelle Veney, CRNP 3800 Lottsford Vista Rd, Skilled Nursing Facility-, Mitchellville, MD 20721-4018 Ph: (301) 832-2095  | 
Oluwatoyin Olawale,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2021 Cross Church Way, Mitchellville, MD 20721 Phone: 301-335-4144  | |
Millicent Marie Edgar, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12138 Central Ave Ste 891, Mitchellville, MD 20721 Phone: 202-681-3533  |