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NPI Code Detail

MEDICARE: MRS. VALERIE ANN WARD ARNP, BC

MEDICARE: MRS. VALERIE ANN WARD ARNP, BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerAPRN3072822FL
2363L00000XNurse PractitionerAPRN3072822FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y01R5OTHERFLFLA BLUE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740392406
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VALERIE ANN WARD ARNP, BC
Provider Business Mailing Address
First Line : PO BOX 644373
Second Line :
City : VERO BEACH
State : FL
Zip : 32964-4373
Country : US
Telephone Number : 772-564-1799
Fax Number : 772-494-1975
Provider Business Practice Location Address
First Line : 1600 36TH ST STE A
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4875
Country : US
Telephone Number : 772-564-1799
Fax Number : 772-494-1975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 10/03/2022

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