Provider Demographics
NPI:1902994510
Name:KOLBERT, VALERIE FRANCES (APRN)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:FRANCES
Last Name:KOLBERT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 NE SPANISH RIVER BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4500
Mailing Address - Country:US
Mailing Address - Phone:561-347-1112
Mailing Address - Fax:561-368-0459
Practice Address - Street 1:500 NE SPANISH RIVER BLVD STE 102
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4500
Practice Address - Country:US
Practice Address - Phone:561-347-1112
Practice Address - Fax:561-680-4593
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN1597812363LP0808X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1952302283OtherGROUP NPI
FLY037DOtherBC/BS OF FL PROVIDER ID
FLE8264ZMedicare PIN
FLY037DOtherBC/BS OF FL PROVIDER ID
FLQ0272Medicare PIN