Provider Demographics
NPI:1306342563
Name:VALERE, GUERDA JOSEPH (ARNP)
Entity type:Individual
Prefix:
First Name:GUERDA
Middle Name:JOSEPH
Last Name:VALERE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 NE 199TH ST APT 101D
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3013
Mailing Address - Country:US
Mailing Address - Phone:786-385-3444
Mailing Address - Fax:
Practice Address - Street 1:13936 NW 7TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-2908
Practice Address - Country:US
Practice Address - Phone:786-385-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9305373363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily