Provider Demographics
NPI:1689367559
Name:YUSKAITIS, VALARIE (FDNP)
Entity Type:Individual
Prefix:MRS
First Name:VALARIE
Middle Name:
Last Name:YUSKAITIS
Suffix:
Gender:F
Credentials:FDNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 S PACKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2848
Mailing Address - Country:US
Mailing Address - Phone:813-300-1377
Mailing Address - Fax:
Practice Address - Street 1:903 S PACKWOOD AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2848
Practice Address - Country:US
Practice Address - Phone:813-300-1377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach