Provider Demographics
NPI:1942064266
Name:GLOVER-MAAG, VALERIE (RN, CCM)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:GLOVER-MAAG
Suffix:
Gender:F
Credentials:RN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4969 MANNA LN
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-3937
Mailing Address - Country:US
Mailing Address - Phone:678-232-1656
Mailing Address - Fax:404-800-0054
Practice Address - Street 1:4969 MANNA LN
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-3937
Practice Address - Country:US
Practice Address - Phone:678-232-1656
Practice Address - Fax:404-800-0054
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X, 171M00000X, 251B00000X
GARN141127163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No171400000XOther Service ProvidersHealth & Wellness Coach
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251B00000XAgenciesCase Management