Healthcare Provider Details

I. General information

NPI: 1588235147
Provider Name (Legal Business Name): NANCY DUVAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3569 FOREST HILL BLVD APT 113
WEST PALM BEACH FL
33406-5891
US

IV. Provider business mailing address

PO BOX 5914
LAKE WORTH FL
33466-5914
US

V. Phone/Fax

Practice location:
  • Phone: 561-524-9848
  • Fax:
Mailing address:
  • Phone: 561-524-9848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberCNA368570
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: