Healthcare Provider Details

I. General information

NPI: 1225851199
Provider Name (Legal Business Name): CLAIRE M VALENTE PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2024
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 CLOCK TOWER SQ
PORTSMOUTH RI
02871-1396
US

IV. Provider business mailing address

107 CLOCK TOWER SQ
PORTSMOUTH RI
02871-1396
US

V. Phone/Fax

Practice location:
  • Phone: 401-862-3915
  • Fax:
Mailing address:
  • Phone: 401-293-5930
  • Fax: 401-293-0097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN04305
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: