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NPI Code Detail

MEDICARE: JULIE MARLY VALDES APRN

MEDICARE:   JULIE MARLY VALDES  APRN
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
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse2020089183FL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner2020089183FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386249837
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE MARLY VALDES APRN
Provider Business Mailing Address
First Line : 3105 W AZEELE ST
Second Line :
City : TAMPA
State : FL
Zip : 33609-3089
Country : US
Telephone Number : 813-327-5485
Fax Number :
Provider Business Practice Location Address
First Line : 3105 W AZEELE ST
Second Line :
City : TAMPA
State : FL
Zip : 33609-3089
Country : US
Telephone Number : 813-327-5485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2020
Last Update Date : 04/12/2024

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Directions to “ JULIE MARLY VALDES APRN” Practice Location

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