Provider Demographics
NPI:1285961128
Name:VALESCOT, NADIA LEMAINE (LPN)
Entity type:Individual
Prefix:MISS
First Name:NADIA
Middle Name:LEMAINE
Last Name:VALESCOT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:NADIA
Other - Middle Name:LEMAINE
Other - Last Name:VALESCOT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:194 -28 110TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:NY
Mailing Address - Zip Code:11412-1614
Mailing Address - Country:US
Mailing Address - Phone:718-217-0375
Mailing Address - Fax:
Practice Address - Street 1:194-28 110 TH. AVENUE
Practice Address - Street 2:
Practice Address - City:SAINT-ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11412-1514
Practice Address - Country:US
Practice Address - Phone:718-217-0375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226282-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health