MEDICARE: CHELSEY VALLE

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	RN9611596	FL

General Provider Information

NPI Number	:	1972445187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEY VALLE

Provider Business Mailing Address
First Line	:	8944 SW 25TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-2021
Country	:	US
Telephone Number	:	786-537-6856
Fax Number	:

Provider Business Practice Location Address
First Line	:	8944 SW 25TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-2021
Country	:	US
Telephone Number	:	786-537-6856
Fax Number	:

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

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “ CHELSEY VALLE ” Practice Location

Language	Start Address	Practice Location

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