Doctor Name: | DAMARIS VALDES |
NPI Number: | 1700282399 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9293928 |
Business Practice Address: | 8181 Nw S River Dr D 410 Medley, FL - 331667447 |
Business Phone Number: | 3058256101 |
Business Fax Number: | |
Mailing Address: | 8181 Nw S River Dr, D 410 MEDLEY |
State: | FL |
Postal Code: | 331667447 |
Phone Number: | 3058256101 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2014 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9293928 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |