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NPI Code Detail

MEDICARE: KAYLA VALENTINE FNP-BC

MEDICARE: KAYLA VALENTINE FNP-BC
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
1363LF0000XFamily Nurse PractitionerAPRN75606-NP-CWV
2363LF0000XFamily Nurse Practitioner2022007163MO

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 : 1871060764
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA VALENTINE FNP-BC
Provider Business Mailing Address
First Line : 520 E GREENWOOD ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-3639
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 483 COURT ST
Second Line :
City : ELIZABETH
State : WV
Zip : 26143-1109
Country : US
Telephone Number : 304-424-4574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2018
Last Update Date : 01/30/2024

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Directions to “ KAYLA VALENTINE FNP-BC” Practice Location

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