Healthcare Provider Details

I. General information

NPI: 1588620348
Provider Name (Legal Business Name): VALENCIA MARIA MALVEAUX NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 05/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3720 PRYTANIA ST
NEW ORLEANS LA
70115-3733
US

IV. Provider business mailing address

3720 PRYTANIA ST
NEW ORLEANS LA
70115-3733
US

V. Phone/Fax

Practice location:
  • Phone: 504-891-3711
  • Fax: 504-891-6353
Mailing address:
  • Phone: 504-891-3711
  • Fax: 504-891-6353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN069856 AP03363
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN069856 AP03363
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: