Provider Demographics
NPI:1255884839
Name:HERBERT, VALERIE JANE (NP)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:JANE
Last Name:HERBERT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:WAKFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23888-0097
Mailing Address - Country:US
Mailing Address - Phone:757-312-8730
Mailing Address - Fax:
Practice Address - Street 1:109 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:WAKFIELD
Practice Address - State:VA
Practice Address - Zip Code:23888-0097
Practice Address - Country:US
Practice Address - Phone:757-312-8730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001160403363LP2300X
VA0024173991363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care