Provider Demographics
NPI:1073061065
Name:SAWAYA, VALERIE (NP MIDWIFE)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:SAWAYA
Suffix:
Gender:F
Credentials:NP MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6407 BELL BLUFF AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-1029
Mailing Address - Country:US
Mailing Address - Phone:619-869-1166
Mailing Address - Fax:
Practice Address - Street 1:2435 MARSHALL AVE
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:CA
Practice Address - Zip Code:92251-9599
Practice Address - Country:US
Practice Address - Phone:760-550-6327
Practice Address - Fax:760-550-6331
Is Sole Proprietor?:No
Enumeration Date:2016-09-19
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA235807367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife