Provider Demographics
NPI:1104152636
Name:VALION, DELREATA A (LPN)
Entity type:Individual
Prefix:MRS
First Name:DELREATA
Middle Name:A
Last Name:VALION
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:DELREATA
Other - Middle Name:A
Other - Last Name:GREENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:58 GRAFTON ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-4002
Mailing Address - Country:US
Mailing Address - Phone:585-467-6511
Mailing Address - Fax:
Practice Address - Street 1:58 GRAFTON ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-4002
Practice Address - Country:US
Practice Address - Phone:585-467-6511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-17
Last Update Date:2009-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY297543164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse