Provider Demographics
NPI:1275267387
Name:LANIER, VALERIE L (DNP, AGPCNP-C, APRN)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:L
Last Name:LANIER
Suffix:
Gender:F
Credentials:DNP, AGPCNP-C, APRN
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:L
Other - Last Name:LANIER-EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3 CHATFIELD DR APT F
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-7229
Mailing Address - Country:US
Mailing Address - Phone:256-225-2594
Mailing Address - Fax:
Practice Address - Street 1:3 CHATFIELD DR APT F
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-7229
Practice Address - Country:US
Practice Address - Phone:256-225-2594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGAA-NP000893363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty