Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP9205436 | FL |
NPI | 1013205384 |
---|---|
Provider Name | Ms. Valerie Jean Bress |
First Address | Bonita Springs, FL 34134-8743 |
Second Address | Naples, FL 34102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2011 |
Last Update Date | 20/07/2011 |