Healthcare Provider Details

I. General information

NPI: 1649994294
Provider Name (Legal Business Name): EMMA KATHERINE VALENTINO MSN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3490 INDEPENDENCE DR
BIRMINGHAM AL
35209-5604
US

IV. Provider business mailing address

1125 BRISTOL WAY
BIRMINGHAM AL
35242-5654
US

V. Phone/Fax

Practice location:
  • Phone: 205-874-0000
  • Fax:
Mailing address:
  • Phone: 334-332-8370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1-170525
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163WR1000X
TaxonomyReproductive Endocrinology/Infertility Registered Nurse
License Number1-170525
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: