Provider Demographics
NPI:1043365802
Name:VALIN, DEBORAH J (APRN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:VALIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:J
Other - Last Name:FALCONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:2080 WHITNEY AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3603
Mailing Address - Country:US
Mailing Address - Phone:203-281-6228
Mailing Address - Fax:203-248-2881
Practice Address - Street 1:2080 WHITNEY AVE STE 240
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3603
Practice Address - Country:US
Practice Address - Phone:203-281-6228
Practice Address - Fax:203-248-2881
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003133363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2571435OtherUNITED HEALTH CARE
CT031330-G640OtherCONNECTICARE
CTP3708548OtherOXFORD
CT400003133CT01OtherANTHEM BLUE CROSS
CT2V6018OtherHEALTH NET
CTD400359387Medicare PIN