MEDICARE: LISA ALICIA VALVO ARNP

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	3262992	FL

General Provider Information

NPI Number	:	1518336619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA ALICIA VALVO ARNP

Provider Business Mailing Address
First Line	:	1431 PIONEER WAY
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-6249
Country	:	US
Telephone Number	:	561-633-9318
Fax Number	:

Provider Business Practice Location Address
First Line	:	1431 PIONEER WAY
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-6249
Country	:	US
Telephone Number	:	561-633-9318
Fax Number	:

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

Provider Enumeration Date	:	09/18/2015
Last Update Date	:	08/21/2024

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