Provider Demographics
NPI:1710669452
Name:VALME-DALEUS, GERALDINE MERRY (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:MERRY
Last Name:VALME-DALEUS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 OCEAN AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-6720
Mailing Address - Country:US
Mailing Address - Phone:718-940-0582
Mailing Address - Fax:
Practice Address - Street 1:1010 OCEAN AVE FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-6720
Practice Address - Country:US
Practice Address - Phone:917-518-9340
Practice Address - Fax:718-940-0583
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF351568-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily