Provider Demographics
NPI:1689413924
Name:CARMICHAEL, VALERIE (FNP)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:CARMICHAEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 OLIVE LN
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-5514
Mailing Address - Country:US
Mailing Address - Phone:954-461-3706
Mailing Address - Fax:
Practice Address - Street 1:2494 SW 19TH AVENUE RD # O
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7859
Practice Address - Country:US
Practice Address - Phone:352-671-4422
Practice Address - Fax:352-671-4423
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030725363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily