Legacy, Valerie Lynne

Legacy, Valerie Lynne is an individual health care provider with primary practice located at 720 Eskenazi Ave , Indianapolis IN 46202-5187. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Legacy, Valerie Lynne can be contacted via phone (317) 880-0000.

Contact Information

Primary practice address
720 Eskenazi Ave Indianapolis IN 46202-5187
Fax: (317) 880-0565
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28098488 Indiana
Nursing Service Providers / Gastroenterology 163WG0100X 28098488 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003295A Indiana

Profile Details

NPI number 1376856278
LBN Legal business name Legacy, Valerie Lynne
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2010
Last updated Jan 25th, 2024 - about 2 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 1376856278 NPPES
Indiana Other 28098488 REGISTERED NURSE

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