Provider Demographics
NPI:1851592976
Name:EXELBY, VALERIE ELISABETH (NP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ELISABETH
Last Name:EXELBY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:ELISABETH
Other - Last Name:EXELBY-LONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:5025 RED BUD CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5584
Mailing Address - Country:US
Mailing Address - Phone:970-420-1947
Mailing Address - Fax:
Practice Address - Street 1:1525 BLUE SPRUCE DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2004
Practice Address - Country:US
Practice Address - Phone:970-498-6742
Practice Address - Fax:970-498-6772
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO119062363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO93984715Medicaid