Fazio, Valerie J

Fazio, Valerie J is an individual health care provider with primary practice located at 225 Abraham Flexner Way 2Nd Floor, Louisville KY 40202-1882. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Fazio, Valerie J can be contacted via phone (502) 587-4799.

Contact Information

Primary practice address
225 Abraham Flexner Way 2Nd Floor Louisville KY 40202-1882
Phone: (502) 587-4799
Fax: (502) 540-3730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3002178 Kentucky

Profile Details

NPI number 1093709149
LBN Legal business name Fazio, Valerie J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jan 12th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093709149 NPPES
Indiana MEDICAID 200814130
Indiana MEDICAID 74002056

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