Provider Demographics
NPI:1710250261
Name:BUETHE, VALERIE (ARNP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:BUETHE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16541 POINTE VILLAGE DR
Mailing Address - Street 2:STE 209
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-5259
Mailing Address - Country:US
Mailing Address - Phone:813-336-4461
Mailing Address - Fax:813-336-4466
Practice Address - Street 1:16541 POINTE VILLAGE DR
Practice Address - Street 2:STE 209
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-5259
Practice Address - Country:US
Practice Address - Phone:813-336-4461
Practice Address - Fax:813-336-4466
Is Sole Proprietor?:No
Enumeration Date:2012-02-14
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9316309363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily