Provider Demographics
NPI:1043882426
Name:BARRIOZ, VALLI LORRAINE DAVIS (CNM, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:VALLI
Middle Name:LORRAINE DAVIS
Last Name:BARRIOZ
Suffix:
Gender:F
Credentials:CNM, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6861 E ZAYANTE RD
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:CA
Mailing Address - Zip Code:95018-9445
Mailing Address - Country:US
Mailing Address - Phone:831-335-0885
Mailing Address - Fax:
Practice Address - Street 1:1150 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-3760
Practice Address - Country:US
Practice Address - Phone:858-752-0414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-14
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236192367A00000X
CA104879731363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health