Provider Demographics
NPI:1093780421
Name:VALENCIANO, MARCI JEANETTE (RN)
Entity Type:Individual
Prefix:MISS
First Name:MARCI
Middle Name:JEANETTE
Last Name:VALENCIANO
Suffix:
Gender:F
Credentials:RN
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Other - Credentials:
Mailing Address - Street 1:11937 MIRO CIR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-3326
Mailing Address - Country:US
Mailing Address - Phone:858-566-1764
Mailing Address - Fax:
Practice Address - Street 1:3020 CHILDRENS WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4223
Practice Address - Country:US
Practice Address - Phone:858-966-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA581675163WE0003X
CA20031363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WE0003XNursing Service ProvidersRegistered NurseEmergency