Provider Demographics
NPI:1417176215
Name:DUFF, VALERIE LYNN (CNA)
Entity Type:Individual
Prefix:MISS
First Name:VALERIE
Middle Name:LYNN
Last Name:DUFF
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1485 ROUTE 50
Mailing Address - Street 2:
Mailing Address - City:WOODBINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08270-9649
Mailing Address - Country:US
Mailing Address - Phone:609-827-0608
Mailing Address - Fax:
Practice Address - Street 1:1485 ROUTE 50
Practice Address - Street 2:
Practice Address - City:WOODBINE
Practice Address - State:NJ
Practice Address - Zip Code:08270-9649
Practice Address - Country:US
Practice Address - Phone:609-827-0608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNA 8361850376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide