Individual
DYLAN A. VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
3263 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-6700
(920) 433-6719
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201460-30
WI
363L00000X
Nurse Practitioner
Primary
8493
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06182203
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
03/08/2018
Last updated
03/03/2022
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