Individual
JOANNA M VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2412 HICKORY DR, KUNKLETOWN, PA 18058-8070
(570) 269-0934
Mailing address
PO BOX 957, BRODHEADSVILLE, PA 18322-0957
(570) 269-0934
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307684-1
NY
363LP2300X
Primary Care Nurse Practitioner
9448598
FL
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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