Individual
PENNY VALLIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 BEDFORD ST, FALL RIVER, MA 02720-3050
(508) 679-4239
(508) 679-3702
Mailing address
191 BEDFORD ST, FALL RIVER, MA 02720-3050
(508) 679-4239
(508) 679-3702
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN21800
MA
363LA2200X
Adult Health Nurse Practitioner
RN34865
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN21800
MA LICENSE
MA
Enumeration date
08/23/2012
Last updated
08/23/2012
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