Individual
MRS. TINA LOUISE VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
421 S MAIN ST, COLUMBIA, IL 62236-2460
(618) 281-7151
Mailing address
14 PRAIRIE VIEW EST, COLUMBIA, IL 62236-3336
(618) 476-7870
(618) 476-7853
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
106770
MO
363L00000X
Nurse Practitioner
Primary
209-001032
IL
Other
Enumeration date
09/26/2005
Last updated
03/17/2021
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