Provider Demographics
NPI:1033989603
Name:TCHA, VALERIE VA (ACNPC-AG)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:VA
Last Name:TCHA
Suffix:
Gender:F
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36331 AVENUE 15
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-2019
Mailing Address - Country:US
Mailing Address - Phone:559-283-4743
Mailing Address - Fax:
Practice Address - Street 1:36331 AVENUE 15
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93636-2019
Practice Address - Country:US
Practice Address - Phone:559-283-4743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13417288363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care