Basic Information
| Provider Information | |||||||||
| NPI: | 1629303458 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STAPLES | ||||||||
| FirstName: | VALERIE | ||||||||
| MiddleName: | CATHERINE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9350 BINGHAM ST | ||||||||
| Address2: | |||||||||
| City: | ELBERTA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 365305058 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7066623196 | ||||||||
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| Practice Location | |||||||||
| Address1: | 18317 US-90 | ||||||||
| Address2: | |||||||||
| City: | ROBERTSDALE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 36567 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2519472000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2009 | ||||||||
| LastUpdateDate: | 07/11/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | DO.2356 | AL | N | Allopathic & Osteopathic Physicians | General Practice | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 390200000X | DO.2356 | AL | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207Q00000X | DO.2356 | AL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | DO.2356 | 01 | AL | MEDICAL LICENSE | OTHER |