Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | ARNP1932102 | FL |
NPI | 1912065673 |
---|---|
Provider Name | Ms. Pia C Valvassori |
First Address | Orlando, FL 32805-1612 |
Second Address | Orlando, FL 32805-1612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 25/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
306311900 | (05) | FL |
ARNP1932102 | ARNP LICENSE (01) | FL |
EY650Z | (02) | FL |