Provider Demographics
NPI:1043809262
Name:VALMIR, WISLINE
Entity Type:Individual
Prefix:MS
First Name:WISLINE
Middle Name:
Last Name:VALMIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6890 COMPASS CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-3654
Mailing Address - Country:US
Mailing Address - Phone:407-484-7401
Mailing Address - Fax:
Practice Address - Street 1:6890 COMPASS CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-3654
Practice Address - Country:US
Practice Address - Phone:407-484-7401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9315567163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse