Provider Demographics
NPI:1841706314
Name:ASBERRY, VALERIE RENAE
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:RENAE
Last Name:ASBERRY
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 1:49217 MORNING GLORY DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-1840
Mailing Address - Country:US
Mailing Address - Phone:586-255-2413
Mailing Address - Fax:586-231-5820
Practice Address - Street 1:26051 ROSS ST
Practice Address - Street 2:
Practice Address - City:INKSTER
Practice Address - State:MI
Practice Address - Zip Code:48141-3295
Practice Address - Country:US
Practice Address - Phone:313-633-0899
Practice Address - Fax:313-982-7120
Is Sole Proprietor?:No
Enumeration Date:2017-12-20
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS820305441374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide