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General NPI Number Information
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NPI Number | 1124131552
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Entity Type | Individual
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Provider Name | MARY LOUISE VALLONE A.N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | ARTHRITIS & RHEUMATIC DISEASES, P.C. 329 MCLAWS CIRCLE
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6337
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Country | US
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Telephone | 757-220-8579
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Fax | 757-345-0936
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Provider Business Mailing Address
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Address Line | 329 MCLAWS CIR
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-6337
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Country | US
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Telephone | 757-220-8579
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Fax | 752-345-0936
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F301117-2
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024166821
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License Number State | VA
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