Provider Demographics
NPI:1649978412
Name:VALENTI, MERISSA (APRN)
Entity type:Individual
Prefix:MRS
First Name:MERISSA
Middle Name:
Last Name:VALENTI
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 1:3674 HOLLYWOOD PL
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32766-7065
Mailing Address - Country:US
Mailing Address - Phone:646-591-1526
Mailing Address - Fax:
Practice Address - Street 1:4285 COUNTY ROAD 3270
Practice Address - Street 2:
Practice Address - City:KEMPNER
Practice Address - State:TX
Practice Address - Zip Code:76539-3807
Practice Address - Country:US
Practice Address - Phone:512-740-6959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006246363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care