Basic Information
Provider Information
NPI: 1760520621
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PEERY
FirstName: VALERIE
MiddleName: WALKER
NamePrefix: MS.
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 152
Address2:  
City: BART
State: PA
PostalCode: 175030152
CountryCode: US
TelephoneNumber: 7177865506
FaxNumber: 7177865507
Practice Location
Address1: 1138 GEORGETOWN RD
Address2:  
City: CHRISTIANA
State: PA
PostalCode: 175099720
CountryCode: US
TelephoneNumber: 7177865506
FaxNumber: 7177865507
Other Information
ProviderEnumerationDate: 02/02/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
176B00000XMW008473LPAY Other Service ProvidersMidwife 

No ID Information.


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