Provider Demographics
NPI:1669218657
Name:BATH, VALERIE FESSLER (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:FESSLER
Last Name:BATH
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10444 MILLSTONE DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IN
Mailing Address - Zip Code:47001-9471
Mailing Address - Country:US
Mailing Address - Phone:513-485-1799
Mailing Address - Fax:
Practice Address - Street 1:19904 AUGUSTA DR STE 3
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-7549
Practice Address - Country:US
Practice Address - Phone:812-577-3587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71015526A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health