MEDICARE: ELISABETE SANTO VALENTE NP

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	RN282745	MA

General Provider Information

NPI Number	:	1306191168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISABETE SANTO VALENTE NP

Provider Business Mailing Address
First Line	:	4200 MONTGOMERY RD STE 400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-3102
Country	:	US
Telephone Number	:	866-510-4357
Fax Number	:	866-460-2997

Provider Business Practice Location Address
First Line	:	290 MERRIMACK ST STE 106
Second Line	:
City	:	LAWRENCE
State	:	MA
Zip	:	01843-1783
Country	:	US
Telephone Number	:	833-510-4357
Fax Number	:	866-460-2997

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

Provider Enumeration Date	:	07/18/2012
Last Update Date	:	12/15/2022

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