Provider Demographics
NPI:1912214172
Name:NAGLE, VALERIE (DC)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:
Last Name:NAGLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1074 NW FEDERAL HWY # 1
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-1028
Mailing Address - Country:US
Mailing Address - Phone:772-692-1717
Mailing Address - Fax:772-692-1716
Practice Address - Street 1:1074 NW FEDERAL HWY # 1
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-1028
Practice Address - Country:US
Practice Address - Phone:772-692-1717
Practice Address - Fax:772-692-1716
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10102111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor