Provider Demographics
NPI:1881057446
Name:VALDES HERRERA, KALIE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:KALIE
Middle Name:
Last Name:VALDES HERRERA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9240 SUNSET DR
Mailing Address - Street 2:SUITE 241
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3261
Mailing Address - Country:US
Mailing Address - Phone:305-271-1919
Mailing Address - Fax:
Practice Address - Street 1:9240 SUNSET DR
Practice Address - Street 2:SUITE 241
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3261
Practice Address - Country:US
Practice Address - Phone:305-271-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9313845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily