Healthcare Provider Details

I. General information

NPI: 1265243455
Provider Name (Legal Business Name): MARIE VALVIS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2025
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MILL ST STE 101
ARLINGTON MA
02476-4738
US

IV. Provider business mailing address

22 MILL ST STE 101
ARLINGTON MA
02476-4738
US

V. Phone/Fax

Practice location:
  • Phone: 781-646-5091
  • Fax:
Mailing address:
  • Phone: 781-646-4345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2273443
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN2273443
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: