Provider Demographics
NPI:1902060502
Name:VALENTA, CHARLENE DOROTHY (RN, MSN, CNOR, RNFA)
Entity Type:Individual
Prefix:MRS
First Name:CHARLENE
Middle Name:DOROTHY
Last Name:VALENTA
Suffix:
Gender:F
Credentials:RN, MSN, CNOR, RNFA
Other - Prefix:
Other - First Name:CHARLENE
Other - Middle Name:DOROTHY
Other - Last Name:LUTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 WICKLOW DR
Mailing Address - Street 2:
Mailing Address - City:TABERNACLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08088-8638
Mailing Address - Country:US
Mailing Address - Phone:609-268-0846
Mailing Address - Fax:
Practice Address - Street 1:1 HAMILTON HEALTH PL
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3542
Practice Address - Country:US
Practice Address - Phone:609-631-6868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-12
Last Update Date:2008-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR10527400163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant