MEDICARE: MS. VALERIE LORENTZ RN BSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN315765	GA

General Provider Information

NPI Number	:	1215875257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VALERIE LORENTZ RN BSN

Provider Business Mailing Address
First Line	:	3810 OLD 41 HIGHWAY
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-1059
Country	:	US
Telephone Number	:	770-974-3330
Fax Number	:	770-966-9192

Provider Business Practice Location Address
First Line	:	3810 OLD 41 HIGHWAY
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-1059
Country	:	US
Telephone Number	:	770-974-3330
Fax Number	:	770-966-9192

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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