Provider Demographics
NPI:1407336175
Name:FONAREV, VALERIE (CRNP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:FONAREV
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 1:838 EMERALD DR
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-1782
Mailing Address - Country:US
Mailing Address - Phone:412-953-9742
Mailing Address - Fax:
Practice Address - Street 1:969 GREENTREE RD STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3328
Practice Address - Country:US
Practice Address - Phone:412-922-5250
Practice Address - Fax:412-920-8162
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018034363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner