Provider Demographics
NPI:1871847244
Name:CROMWELL, VALESKA FRANCES (RN)
Entity Type:Individual
Prefix:MS
First Name:VALESKA
Middle Name:FRANCES
Last Name:CROMWELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 MAIN ST
Mailing Address - Street 2:511
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2217
Mailing Address - Country:US
Mailing Address - Phone:862-520-1770
Mailing Address - Fax:
Practice Address - Street 1:90 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-1804
Practice Address - Country:US
Practice Address - Phone:973-321-0625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ104264163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool