Provider Demographics
NPI:1952366254
Name:SMITH, VALERIE J (CRNP)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:J
Last Name:SMITH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:VALERIE
Other - Middle Name:J
Other - Last Name:KARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:361 ALEXANDER SPRING RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-6940
Mailing Address - Country:US
Mailing Address - Phone:717-960-3414
Mailing Address - Fax:717-960-3487
Practice Address - Street 1:361 ALEXANDER SPRING RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-6940
Practice Address - Country:US
Practice Address - Phone:717-960-3414
Practice Address - Fax:717-960-3487
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP003497D363L00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
S66862Medicare UPIN
PA019836Medicare ID - Type Unspecified