Provider Demographics
NPI:1144024019
Name:KLIMACK, VALERIA (APRN)
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:
Last Name:KLIMACK
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 1:8900 SW 142ND AVE APT 327
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1182
Mailing Address - Country:US
Mailing Address - Phone:786-378-0179
Mailing Address - Fax:
Practice Address - Street 1:8900 SW 142ND AVE APT 327
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1182
Practice Address - Country:US
Practice Address - Phone:786-378-0179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038604363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily