MEDICARE: ULOAKU VALENTINE-ADU PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	8381419	ID

General Provider Information

NPI Number	:	1477485423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ULOAKU VALENTINE-ADU PMHNP

Provider Business Mailing Address
First Line	:	303 N ALLUMBAUGH ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83704-9208
Country	:	US
Telephone Number	:	800-321-5984
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 N ALLUMBAUGH ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83704-9208
Country	:	US
Telephone Number	:	800-321-5984
Fax Number	:

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

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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