Individual
TERESA MARIE VALDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 1855972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212027
AMERIGROUP
FL
01
—
Y6136
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/02/2006
Last updated
11/05/2014
Update your record
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