Healthcare Provider Details

I. General information

NPI: 1356252985
Provider Name (Legal Business Name): LOYDA ALIANNA VALLS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2544 SE 25TH CT
HOMESTEAD FL
33035-2089
US

IV. Provider business mailing address

2544 SE 25TH CT
HOMESTEAD FL
33035-2089
US

V. Phone/Fax

Practice location:
  • Phone: 305-401-8390
  • Fax:
Mailing address:
  • Phone: 305-401-8390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11050840
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: