Healthcare Provider Details

I. General information

NPI: 1619890852
Provider Name (Legal Business Name): JANE VALDES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 NE 142ND ST
NORTH MIAMI FL
33161-3317
US

IV. Provider business mailing address

1111 NE 142ND ST
NORTH MIAMI FL
33161-3317
US

V. Phone/Fax

Practice location:
  • Phone: 786-317-1902
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberARNP11047925
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: