Provider Demographics
NPI:1457598005
Name:MICHAUD, VALERIE M (NP)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:M
Last Name:MICHAUD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:255 EASTERN PKWY
Mailing Address - Street 2:APT. A2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-6370
Mailing Address - Country:US
Mailing Address - Phone:718-832-7950
Mailing Address - Fax:
Practice Address - Street 1:150 - 55TH STREET
Practice Address - Street 2:SCHOOL HEALTH
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220
Practice Address - Country:US
Practice Address - Phone:718-210-5264
Practice Address - Fax:718-492-5090
Is Sole Proprietor?:No
Enumeration Date:2009-01-17
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF302451-1363LA2200X
NYF335468-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health