Provider Demographics
NPI:1396471769
Name:VALS MELIAN, EIMARA (NP)
Entity type:Individual
Prefix:
First Name:EIMARA
Middle Name:
Last Name:VALS MELIAN
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 1:6239 LAKE WORTH RD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3003
Mailing Address - Country:US
Mailing Address - Phone:561-593-3525
Mailing Address - Fax:561-964-4050
Practice Address - Street 1:2640 FOREST HILL BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5931
Practice Address - Country:US
Practice Address - Phone:561-275-7100
Practice Address - Fax:561-275-7199
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-28
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL1102025363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily