Healthcare Provider Details

I. General information

NPI: 1457727018
Provider Name (Legal Business Name): LINDSEY ANN VALLET FNP, NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2015
Last Update Date: 11/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 FIRST VILLAGE DR
PINEHURST NC
28374-8724
US

IV. Provider business mailing address

5 FIRSTVILLAGE DRIVE PO BOX 2000
PINEHURST NC
28374
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-6831
  • Fax:
Mailing address:
  • Phone: 910-295-6831
  • Fax: 910-295-0244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberVALL-R97IOC
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number281061
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: