| NPI | 1720673429 |
|---|---|
| Former Name | VALERIE ALEXIS FAZIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01135400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 653961) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP023420) | |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2022-03-29 |