Healthcare Provider Details

I. General information

NPI: 1336632157
Provider Name (Legal Business Name): VALORIE ANN PATRICK APRN-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

174 LMAH CENTER RD
LOGAN WV
25601
US

IV. Provider business mailing address

1561 R A WEST HWY
DELBARTON WV
25670-6102
US

V. Phone/Fax

Practice location:
  • Phone: 304-792-7130
  • Fax:
Mailing address:
  • Phone: 606-205-2527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN95677-NP-C
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN95677-NP-BC
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: