MEDICARE: MS. VALERIE KAREN MESSINA ANP

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
1	363L00000X	Nurse Practitioner	ARNP797652	FL
2	363LA2200X	Adult Health Nurse Practitioner	797652	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1770514564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VALERIE KAREN MESSINA ANP

Provider Business Mailing Address
First Line	:	PO BOX 13833
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19101-3833
Country	:	US
Telephone Number	:	352-273-9474
Fax Number	:	352-271-4574

Provider Business Practice Location Address
First Line	:	140 S BEACH ST STE 202
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-4409
Country	:	US
Telephone Number	:	888-506-8836
Fax Number	:	888-506-8836

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	06/20/2020

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