Healthcare Provider Details

I. General information

NPI: 1932866233
Provider Name (Legal Business Name): VALERIE LYNN DODDS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2021
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 EDGEWOOD DRIVE EXT
TRANSFER PA
16154-1817
US

IV. Provider business mailing address

225 EDGEWOOD DRIVE EXT
TRANSFER PA
16154-1817
US

V. Phone/Fax

Practice location:
  • Phone: 724-646-7246
  • Fax: 724-928-9113
Mailing address:
  • Phone: 724-646-7246
  • Fax: 724-928-9113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN647133
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0031700
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP023979
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: