Provider Demographics
NPI:1881084317
Name:VALMED LLC
Entity type:Organization
Organization Name:VALMED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALDENCIA
Authorized Official - Middle Name:LANIECE
Authorized Official - Last Name:GOSSING
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, NP-C
Authorized Official - Phone:253-444-5511
Mailing Address - Street 1:31811 PACIFIC HWY S
Mailing Address - Street 2:B101
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5646
Mailing Address - Country:US
Mailing Address - Phone:253-444-5511
Mailing Address - Fax:253-444-5512
Practice Address - Street 1:31811 PACIFIC HWY S
Practice Address - Street 2:B101
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5646
Practice Address - Country:US
Practice Address - Phone:253-444-5511
Practice Address - Fax:253-444-5512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60475878363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty