Provider Demographics
NPI:1114960242
Name:VALENTE, NANCY A (CRNA)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:VALENTE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 5TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-709-6533
Mailing Address - Fax:717-709-6529
Practice Address - Street 1:147 GETTYS ST
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2534
Practice Address - Country:US
Practice Address - Phone:717-337-4168
Practice Address - Fax:717-337-4318
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN215764L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1114960242OtherNPI
PA1558703OtherGATEWAY-WMG
PA1747053OtherHIGHMARK GH
PA101010OtherGEISINGER
PA101828334Medicaid
PA50067122OtherCAPITAL BLUE CROSS
PAP00315028OtherRAILROAD MEDICARE
PA091872GVQMedicare PIN