Doctor Name: | VALERIE LYNN POIRIER |
NPI Number: | 1003113424 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA9105909 |
Business Practice Address: | 410 Celebration Pl Suite 106 Celebration, FL - 347475433 |
Business Phone Number: | 4073034270 |
Business Fax Number: | 4073034520 |
Mailing Address: | 410 Celebration Pl, Suite 106 CELEBRATION |
State: | FL |
Postal Code: | 347475433 |
Phone Number: | 4073034270 |
Fax Number: | 4073034520 |
NPI Enumeration Date: | 02/21/2011 |
NPI Last Update Date: | 02/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9105909 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |