MEDICARE: ANN-MARIE VALENTINE FNP-C

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	363LF0000X	Family Nurse Practitioner	F0621048	PA

General Provider Information

NPI Number	:	1275109837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN-MARIE VALENTINE FNP-C

Provider Business Mailing Address
First Line	:	262 EVERGLADE DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-2015
Country	:	US
Telephone Number	:	412-689-3139
Fax Number	:

Provider Business Practice Location Address
First Line	:	262 EVERGLADE DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-2015
Country	:	US
Telephone Number	:	412-689-3139
Fax Number	:

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

Provider Enumeration Date	:	06/03/2021
Last Update Date	:	06/03/2021

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