Mrs Venus M Valliere, ARNP BC | |
264a Palm Coast Pkwy Ne, Palm Coast, FL 32137-8217 | |
(386) 446-5505 | |
(386) 246-3960 |
Full Name | Mrs Venus M Valliere |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 264a Palm Coast Pkwy Ne, Palm Coast, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093142515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP9265125 (Florida) | Primary |
Entity Name | Rural Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871569061 PECOS PAC ID: 7214849520 Enrollment ID: O20031219000375 |
Entity Name | Conviva Medical Center Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
Mailing Address | Practice Location Address |
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Mrs Venus M Valliere, ARNP BC 2460 Old Moultrie Rd Ste 1, St Augustine, FL 32086-4198 Ph: (904) 293-0299 | Mrs Venus M Valliere, ARNP BC 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137-8217 Ph: (386) 446-5505 |
Lyne Emilie Homeus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Waywell Pl, Palm Coast, FL 32164 Phone: 386-530-1708 | |
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861 | |
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333 | |
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373 | |
Amanda Vera, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811 | |
Traci Serrano, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720 |