Provider Demographics
NPI:1134755747
Name:VALENTINE, DARBY KATHLEEN (APRN)
Entity type:Individual
Prefix:MRS
First Name:DARBY
Middle Name:KATHLEEN
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DARBY
Other - Middle Name:KATHLEEN
Other - Last Name:HEARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:406 SAINT JULIEN AVE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-4622
Mailing Address - Country:US
Mailing Address - Phone:337-366-6050
Mailing Address - Fax:337-366-6051
Practice Address - Street 1:406 SAINT JULIEN AVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4622
Practice Address - Country:US
Practice Address - Phone:337-366-6050
Practice Address - Fax:337-366-6051
Is Sole Proprietor?:No
Enumeration Date:2020-03-15
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA212112363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care