Provider Demographics
NPI:1477799591
Name:FELIX, VALERIE (ADULT NP)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:
Last Name:FELIX
Suffix:
Gender:F
Credentials:ADULT NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 SILVER LN
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3337
Mailing Address - Country:US
Mailing Address - Phone:732-234-3187
Mailing Address - Fax:
Practice Address - Street 1:69 NEWMAN SPRINGS RD E
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4038
Practice Address - Country:US
Practice Address - Phone:732-842-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-18
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00177700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health