Provider Demographics
NPI:1073105607
Name:VALENCIA, MARICELLA (CNA)
Entity Type:Individual
Prefix:
First Name:MARICELLA
Middle Name:
Last Name:VALENCIA
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:MARICELLA
Other - Middle Name:
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:2506 REDONDO DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79107-6412
Mailing Address - Country:US
Mailing Address - Phone:806-433-9509
Mailing Address - Fax:
Practice Address - Street 1:2506 REDONDO DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79107-6412
Practice Address - Country:US
Practice Address - Phone:806-433-9509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide