Provider Demographics
NPI:1093376980
Name:DEL VALLE, ROSALIE MAGRAMO (APRN)
Entity type:Individual
Prefix:MRS
First Name:ROSALIE
Middle Name:MAGRAMO
Last Name:DEL VALLE
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 1:7099 LIMESTONE CAY RD
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3891
Mailing Address - Country:US
Mailing Address - Phone:561-379-6255
Mailing Address - Fax:
Practice Address - Street 1:7099 LIMESTONE CAY RD
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3891
Practice Address - Country:US
Practice Address - Phone:561-379-6255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-22
Last Update Date:2019-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11002844363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily