Provider Demographics
NPI:1619230778
Name:HARRISON, VALERIE ANNE (APRN DNP)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ANNE
Last Name:HARRISON
Suffix:
Gender:F
Credentials:APRN DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18119 SUSSEX HWY UNIT 1
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19933-4095
Mailing Address - Country:US
Mailing Address - Phone:302-956-6986
Mailing Address - Fax:302-956-6406
Practice Address - Street 1:18119 SUSSEX HWY UNIT 1
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:DE
Practice Address - Zip Code:19933-4095
Practice Address - Country:US
Practice Address - Phone:302-956-6986
Practice Address - Fax:302-956-6406
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000582363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE200107873Medicaid