Provider Demographics
NPI:1912024522
Name:WALDMEIER, VALARIE PHILLIBER (PHD, APRN-BC, FNP, A)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:PHILLIBER
Last Name:WALDMEIER
Suffix:
Gender:F
Credentials:PHD, APRN-BC, FNP, A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70663-0229
Mailing Address - Country:US
Mailing Address - Phone:337-527-7041
Mailing Address - Fax:337-527-0685
Practice Address - Street 1:1611 HAMPTON ST
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:LA
Practice Address - Zip Code:70668-3707
Practice Address - Country:US
Practice Address - Phone:337-475-5824
Practice Address - Fax:337-475-5702
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1438359Medicaid
LA1438359Medicaid