Provider Demographics
NPI:1619234754
Name:CAGER, VALERIE ROSE
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ROSE
Last Name:CAGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1374 WESTMINSTER ST.
Mailing Address - Street 2:#A205
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55130-3351
Mailing Address - Country:US
Mailing Address - Phone:651-354-8940
Mailing Address - Fax:
Practice Address - Street 1:1374 WESTMINSTER ST.
Practice Address - Street 2:#A205
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-3351
Practice Address - Country:US
Practice Address - Phone:651-354-8940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN357323376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker