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NPI Code Detail

MEDICARE: MRS. VALERIE J. LITTLE NP

MEDICARE: MRS. VALERIE J. LITTLE NP
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
1363LF0000XFamily Nurse PractitionerRN131473GA

General Provider Information

NPI Number : 1952628430
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VALERIE J. LITTLE NP
Provider Business Mailing Address
First Line : 7020 MOON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-4900
Country : US
Telephone Number : 706-569-7992
Fax Number :
Provider Business Practice Location Address
First Line : 7020 MOON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-4900
Country : US
Telephone Number : 706-569-7992
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2010
Last Update Date : 04/23/2010

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