Valente-Moore, Gina M
Valente-Moore, Gina M is an individual health care provider with primary practice located at 18144 Seco St , Jamestown CA 95327-9737. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Valente-Moore, Gina M can be contacted via phone (209) 984-4820.Contact Information
Primary practice address
18144 Seco St
Jamestown CA 95327-9737
Phone: (209) 984-4820
Fax: (209) 984-4825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9909 | California |
Profile Details
| NPI number | 1336337484 |
|---|---|
| LBN Legal business name | Valente-Moore, Gina M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2007 |
| Last updated | Mar 25th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336337484 | NPPES |
| California | MEDICAID | P00688230 |
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