Provider Demographics
NPI:1124541842
Name:ALEXIS, VALERY MC WEINER (APRN)
Entity Type:Individual
Prefix:
First Name:VALERY MC WEINER
Middle Name:
Last Name:ALEXIS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 NW 14TH ST STE 309
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2114
Mailing Address - Country:US
Mailing Address - Phone:305-243-4562
Mailing Address - Fax:305-243-3381
Practice Address - Street 1:1150 NW 14TH ST STE 309
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2114
Practice Address - Country:US
Practice Address - Phone:305-243-4562
Practice Address - Fax:305-243-3381
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9412873363LG0600X
FLAPRN9412873363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology