Healthcare Provider Details

I. General information

NPI: 1689462723
Provider Name (Legal Business Name): DARINE LEYVA DE VALES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3681 WHITE BLVD
NAPLES FL
34117-4123
US

IV. Provider business mailing address

3681 WHITE BLVD
NAPLES FL
34117-4123
US

V. Phone/Fax

Practice location:
  • Phone: 239-330-5110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11039001
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN11039001
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: