Provider Demographics
NPI:1487610630
Name:LEGRONE, VALERIE A (NP)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:A
Last Name:LEGRONE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:VALERIE
Other - Middle Name:A
Other - Last Name:JOHANESSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:850 KEMPSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502
Mailing Address - Country:US
Mailing Address - Phone:757-466-5283
Mailing Address - Fax:757-466-5849
Practice Address - Street 1:850 KEMPSVILLE RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502
Practice Address - Country:US
Practice Address - Phone:757-466-5283
Practice Address - Fax:757-466-5849
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166594363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner