Provider Demographics
NPI:1740544717
Name:VALLE, LAURA JEANNE (APRN, CNM)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:JEANNE
Last Name:VALLE
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 AFRICA RD STE 180
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-9830
Mailing Address - Country:US
Mailing Address - Phone:614-768-7633
Mailing Address - Fax:614-953-6768
Practice Address - Street 1:625 AFRICA RD STE 180
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9830
Practice Address - Country:US
Practice Address - Phone:614-768-7633
Practice Address - Fax:614-953-6768
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0085753367A00000X
OHAPRN.CNM.019353367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife