Provider Demographics
NPI:1649994294
Name:VALENTINO, EMMA KATHERINE (MSN, WHNP-BC)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:KATHERINE
Last Name:VALENTINO
Suffix:
Gender:F
Credentials:MSN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 BRISTOL WAY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5654
Mailing Address - Country:US
Mailing Address - Phone:334-332-8370
Mailing Address - Fax:
Practice Address - Street 1:3490 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-5604
Practice Address - Country:US
Practice Address - Phone:205-874-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-28
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-170525363LW0102X, 163WR1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
No163WR1000XNursing Service ProvidersRegistered NurseReproductive Endocrinology/InfertilityGroup - Single Specialty