Healthcare Provider Details

I. General information

NPI: 1710250261
Provider Name (Legal Business Name): VALERIE BUETHE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2012
Last Update Date: 01/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16541 POINTE VILLAGE DR STE 209
LUTZ FL
33558-5259
US

IV. Provider business mailing address

16541 POINTE VILLAGE DR STE 209
LUTZ FL
33558-5259
US

V. Phone/Fax

Practice location:
  • Phone: 813-336-4461
  • Fax: 813-336-4466
Mailing address:
  • Phone: 813-336-4461
  • Fax: 813-336-4466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9316309
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: