Provider Demographics
NPI:1528034782
Name:REID, VALRIE EVADNE (NP)
Entity Type:Individual
Prefix:
First Name:VALRIE
Middle Name:EVADNE
Last Name:REID
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 NW 12TH AVE RM 102
Mailing Address - Street 2:JACKSON MEMORIAL HOSPITAL, CARDIOLOGY
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1005
Mailing Address - Country:US
Mailing Address - Phone:305-585-8722
Mailing Address - Fax:305-585-1265
Practice Address - Street 1:1611 NW 12TH AVE RM 102
Practice Address - Street 2:JACKSON MEMORIAL HOSPITAL
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-8722
Practice Address - Fax:305-585-1265
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1753772363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner