Healthcare Provider Details

I. General information

NPI: 1811222581
Provider Name (Legal Business Name): VALERIE LYNN SCHLECK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2009
Last Update Date: 10/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 BERGENLINE AVE
WEST NEW YORK NJ
07093-1704
US

IV. Provider business mailing address

9 CHERRY LN
CALDWELL NJ
07006-5704
US

V. Phone/Fax

Practice location:
  • Phone: 201-758-9100
  • Fax:
Mailing address:
  • Phone: 973-364-0709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NN04830300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: