Provider Demographics
NPI:1952613473
Name:GOINES, VALARIE MAE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:MAE
Last Name:GOINES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4101
Mailing Address - Country:US
Mailing Address - Phone:336-852-2550
Mailing Address - Fax:
Practice Address - Street 1:605 COLLEGE RD # 8522550
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4101
Practice Address - Country:US
Practice Address - Phone:336-852-2550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC098129363LF0000X
NC2007004990-22363LF0000X
NC5003890363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily