Provider Demographics
NPI:1700930278
Name:BROOKSCAMPBELL, VALERIE JOY (RN)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:JOY
Last Name:BROOKSCAMPBELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 N BROADWAY
Mailing Address - Street 2:APT 1P
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-2042
Mailing Address - Country:US
Mailing Address - Phone:914-476-6043
Mailing Address - Fax:914-476-6043
Practice Address - Street 1:357 N BROADWAY
Practice Address - Street 2:APT 1P
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-2042
Practice Address - Country:US
Practice Address - Phone:914-476-6043
Practice Address - Fax:914-476-6043
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY516032-1163W00000X, 163WC0400X, 163WC1500X, 163WI0500X, 163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WC0400XNursing Service ProvidersRegistered NurseCase Management
Not Answered163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Not Answered163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
Not Answered163WX0200XNursing Service ProvidersRegistered NurseOncology