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Individual

MICHAEL MARIO VALERIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1005 GROVE RD, GREENVILLE, SC 29605-4630
(864) 455-6900
(864) 255-5619
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28948
SC
363LF0000X
Family Nurse Practitioner
RN245123
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F07220107
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
01
RN245123
GEORGIA BOARD OF NURSING
GA
Enumeration date
08/15/2022
Last updated
05/20/2025
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