Provider Demographics
NPI:1275936114
Name:NAZAREK, VALERIE (CRNP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:NAZAREK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 BLACKBERRY ST
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-3320
Mailing Address - Country:US
Mailing Address - Phone:412-377-5810
Mailing Address - Fax:
Practice Address - Street 1:851 BLACKBERRY ST
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-3320
Practice Address - Country:US
Practice Address - Phone:412-377-5810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSP014126363LF0000X
PASP014126363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily