Olivia Venneberg, is a
Nurse Practitioner - Women's Health based in Ridgefield, Washington. Olivia Venneberg is licensed to practice in Oregon (license number 10051901) and her current practice location is
1147 N Fairhope Pl, Ridgefield, Washington. She can be reached at her office (for appointments etc.) via phone at
(503) 867-3168.
NPI number for Olivia Venneberg is 1174490346 and her current mailing address is 1147 N Fairhope Pl, Ridgefield, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174490346.
Provider's Profile
| Full Name | Olivia Venneberg |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Women's Health |
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| Location | 1147 N Fairhope Pl, Ridgefield, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174490346
- Provider Enumeration Date: 10/21/2025
- Last Update Date: 10/21/2025
Medical Identifiers
Medical identifiers for Olivia Venneberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174490346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 10051901 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Olivia Venneberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Olivia Venneberg,
1147 N Fairhope Pl,
Ridgefield, WA 98642-5575
Ph: () - | Olivia Venneberg,
1147 N Fairhope Pl,
Ridgefield, WA 98642-5575
Ph: (503) 867-3168 |
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