Provider Demographics
NPI:1083213201
Name:BARKON, VALERIE NICOLE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:NICOLE
Last Name:BARKON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:NICOLE
Other - Last Name:BARKON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22905 BANYAN PL UNIT 227
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91390-4264
Mailing Address - Country:US
Mailing Address - Phone:805-660-0666
Mailing Address - Fax:
Practice Address - Street 1:22905 BANYAN PL UNIT 227
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91390-4264
Practice Address - Country:US
Practice Address - Phone:805-660-0666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015314363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily