Provider Demographics
NPI:1588122899
Name:VALENTIN, LINNETTE (LPN ADN)
Entity type:Individual
Prefix:MISS
First Name:LINNETTE
Middle Name:
Last Name:VALENTIN
Suffix:
Gender:F
Credentials:LPN ADN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 RUTA 5
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-4531
Mailing Address - Country:US
Mailing Address - Phone:787-629-0298
Mailing Address - Fax:
Practice Address - Street 1:128 RUTA 5
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-4531
Practice Address - Country:US
Practice Address - Phone:787-629-0298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR33866364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR33866OtherADN LICENSE