Provider Demographics
NPI:1699874537
Name:VALENCOURT, JANICE (ANP-C, RNFA)
Entity type:Individual
Prefix:MS
First Name:JANICE
Middle Name:
Last Name:VALENCOURT
Suffix:
Gender:F
Credentials:ANP-C, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1848
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14240-1848
Mailing Address - Country:US
Mailing Address - Phone:716-923-4385
Mailing Address - Fax:716-246-4433
Practice Address - Street 1:462 GRIDER ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3021
Practice Address - Country:US
Practice Address - Phone:716-898-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF302547363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000560445006OtherBCBS
NY000560445005OtherBC/BS
NY207375BJOtherPREFERRED CARE
NY00026526301OtherUNIVERA
NY005604451OtherBC BS PROVIDER NUMBER
NY9512034OtherIHA PROVIDER NUMBER
NY01973537Medicaid
NY00026526304OtherUNIVERA
NYMV0410376OtherDEA
NYBB7157Medicare PIN
NY000560445006OtherBCBS
NY005604451OtherBC BS PROVIDER NUMBER