Provider Demographics
NPI:1669267381
Name:MOBIUS, VALERIE CHRISTINE
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:CHRISTINE
Last Name:MOBIUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35454 RAVINE BLVD APT 108
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-2468
Mailing Address - Country:US
Mailing Address - Phone:248-231-9107
Mailing Address - Fax:
Practice Address - Street 1:318 MEADOW BROOK RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48309-4454
Practice Address - Country:US
Practice Address - Phone:248-231-9107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-12
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704360089363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner