Healthcare Provider Details

I. General information

NPI: 1457031577
Provider Name (Legal Business Name): VALENTINE INTEGRATIVE HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1718 BELMONT AVE STE D
WINDSOR MILL MD
21244-2552
US

IV. Provider business mailing address

1718 BELMONT AVE STE D
WINDSOR MILL MD
21244-2552
US

V. Phone/Fax

Practice location:
  • Phone: 443-501-9201
  • Fax: 410-834-5162
Mailing address:
  • Phone: 443-501-9201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NIA VALENTINE
Title or Position: FAMILY NURSE PRACTITIONER/ OWNER
Credential: CRNP-F
Phone: 443-501-9201