Deanna Jean Valdivia, APRN, FNP-BC
Nurse Practitioner, Family in Louisville, KY. Individual provider (NPI-1).
NPI number1184366643
StatusActive
Last updated in NPPESJan 31, 2025
Details
- NPI
- 1184366643
- Entity type
- Individual (NPI-1)
- Name
- Deanna Jean Valdivia
- Credential
- APRN, FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2022
- Certification date
- Jan 31, 2025
- Last updated
- Jan 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 3017659 | KY | Yes |
| 207R00000X | Internal Medicine | 3017659 | KY |
Other names
- Deanna Jean Valdivia (Professional Name)
Practice location
9880 Angies Way Ste 420Louisville, KY 40241-2850
Phone 502-394-6200
Mailing address
359 S Peak AveShepherdsville, KY 40165-6888
Phone 502-531-2280
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