Doctor Name: | DEBORAH ELLEN VALENTINE |
NPI Number: | 1013272970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 6995788-4405 |
Business Practice Address: | 11 S Main St Hurricane, UT - 847371949 |
Business Phone Number: | 4356359444 |
Business Fax Number: | |
Mailing Address: | 11 S Main St, HURRICANE |
State: | UT |
Postal Code: | 847371949 |
Phone Number: | 4356359444 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2012 |
NPI Last Update Date: | 12/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6995788-4405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |