Provider Demographics
NPI:1710089461
Name:VALIANTE, JOANNE LUCIELLE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:LUCIELLE
Last Name:VALIANTE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:JOANNE
Other - Middle Name:LUCIELLE
Other - Last Name:BOSCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:219 WILDWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1422
Mailing Address - Country:US
Mailing Address - Phone:954-480-6858
Mailing Address - Fax:954-428-8774
Practice Address - Street 1:219 WILDWOOD CIR
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1422
Practice Address - Country:US
Practice Address - Phone:954-480-6858
Practice Address - Fax:954-428-8774
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2173082363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0007054139OtherAETNA
FL0007054139OtherAETNA
FLPO5706Medicare UPIN