Provider Demographics
NPI:1801481726
Name:DILLAY, VALERIE CHRISTINE (STNA)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:CHRISTINE
Last Name:DILLAY
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2927 ASHTON RIDGE DR APT 13
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-7577
Mailing Address - Country:US
Mailing Address - Phone:517-581-6913
Mailing Address - Fax:
Practice Address - Street 1:2927 ASHTON RIDGE DR APT 13
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-7577
Practice Address - Country:US
Practice Address - Phone:517-581-6913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-02
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
347C00000X, 374U00000X, 376J00000X
OH601792050720376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No347C00000XTransportation ServicesPrivate Vehicle
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0728202285863OtherMI NURSE AIDE CERTIFICATION
OH601792050720OtherSTNA CERTIFICATION