Provider Demographics
NPI:1871073528
Name:ROUNDS, VALERIE JOANN (FNP)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:JOANN
Last Name:ROUNDS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8152 N WAYNE DRIVE
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835
Mailing Address - Country:US
Mailing Address - Phone:208-691-3838
Mailing Address - Fax:208-907-0661
Practice Address - Street 1:8152 N WAYNE DRIVE
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:ID
Practice Address - Zip Code:83835
Practice Address - Country:US
Practice Address - Phone:208-417-7741
Practice Address - Fax:208-907-0661
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID47121163W00000X
IDID59455363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse