Provider Demographics
NPI:1700351723
Name:AUREL, VALERIE MERANCIA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:MERANCIA
Last Name:AUREL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4051 N LINCOLN AVE # 8751
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-3009
Mailing Address - Country:US
Mailing Address - Phone:773-871-2611
Mailing Address - Fax:
Practice Address - Street 1:1305 RANDALL RD
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-8601
Practice Address - Country:US
Practice Address - Phone:815-356-0386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-05
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209014166363LF0000X
IL209.014166363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily