Healthcare Provider Details

I. General information

NPI: 1841699659
Provider Name (Legal Business Name): GISELLE VALLADARES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2014
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 N FEDERAL HWY SUITE 270
BOCA RATON FL
33487-4917
US

IV. Provider business mailing address

5301 N FEDERAL HWY SUITE 270
BOCA RATON FL
33487-4917
US

V. Phone/Fax

Practice location:
  • Phone: 561-910-1251
  • Fax: 561-910-1047
Mailing address:
  • Phone: 561-910-1251
  • Fax: 561-910-1047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberARNP 9202834
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9202834
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: