Provider Demographics
NPI:1497966998
Name:VALENTE, MARIA A (ANP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:VALENTE
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60218
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0218
Mailing Address - Country:US
Mailing Address - Phone:843-573-2535
Mailing Address - Fax:843-735-2534
Practice Address - Street 1:2051 CHARLIE HALL BLVD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5834
Practice Address - Country:US
Practice Address - Phone:843-573-2535
Practice Address - Fax:843-735-2534
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166748363LF0000X
TN97945363LF0000X
SC19128363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1497966998Medicaid
TN1509052Medicaid
TN3700592Medicare UPIN
VA1497966998Medicaid
VAVVF869B288Medicare PIN
TN3370347Medicare UPIN