Healthcare Provider Details

I. General information

NPI: 1700363884
Provider Name (Legal Business Name): VALLERIE ROBINSON JAMES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALLERIE ROBINSON JAMES RN

II. Dates (important events)

Enumeration Date: 07/23/2018
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 HEYMANN BLVD
LAFAYETTE LA
70503-2322
US

IV. Provider business mailing address

8230 PLACIDE RD
MAURICE LA
70555-4120
US

V. Phone/Fax

Practice location:
  • Phone: 337-230-2494
  • Fax:
Mailing address:
  • Phone: 337-277-4327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number047794
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: