Provider Demographics
NPI:1730992348
Name:DE MATEO, VALERIE (RN, MSN, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:DE MATEO
Suffix:
Gender:F
Credentials:RN, MSN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 W PEACE ST APT 511
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-5029
Mailing Address - Country:US
Mailing Address - Phone:410-829-8355
Mailing Address - Fax:
Practice Address - Street 1:30 DUKE MEDICINE CIR # 1A
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-4220
Practice Address - Country:US
Practice Address - Phone:919-681-4298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033745363L00000X
NC5022072363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner