Provider Demographics
NPI:1730392523
Name:MINARCHICK, VALERIE J (CNA)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:J
Last Name:MINARCHICK
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:PA
Mailing Address - Zip Code:17976-2137
Mailing Address - Country:US
Mailing Address - Phone:570-462-0476
Mailing Address - Fax:
Practice Address - Street 1:410 W OAK ST
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:PA
Practice Address - Zip Code:17976-2137
Practice Address - Country:US
Practice Address - Phone:570-462-0476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9132226376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide