Provider Demographics
NPI:1821578584
Name:VALENTE, LAURENA MARIE (FNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:LAURENA
Middle Name:MARIE
Last Name:VALENTE
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 1:421 MERRIMACK ST STE 201
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5865
Mailing Address - Country:US
Mailing Address - Phone:978-725-4822
Mailing Address - Fax:978-725-5277
Practice Address - Street 1:421 MERRIMACK ST STE 201
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5865
Practice Address - Country:US
Practice Address - Phone:978-725-4822
Practice Address - Fax:978-725-5277
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2312742207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty