Provider Demographics
NPI:1275139602
Name:CLINE, VALERIE (FNPC)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:
Last Name:CLINE
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10996 FOUR SEASONS PLACE
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-8684
Mailing Address - Country:US
Mailing Address - Phone:888-339-7339
Mailing Address - Fax:219-663-9933
Practice Address - Street 1:8691 CONNECTICIT
Practice Address - Street 2:
Practice Address - City:MERRIVILLE
Practice Address - State:IN
Practice Address - Zip Code:46310
Practice Address - Country:US
Practice Address - Phone:888-339-7339
Practice Address - Fax:219-663-9933
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INF09200977363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily