Provider Demographics
NPI:1154500163
Name:SOLER, VALERIE A (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:A
Last Name:SOLER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20544
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85277-0544
Mailing Address - Country:US
Mailing Address - Phone:602-499-6055
Mailing Address - Fax:480-393-4477
Practice Address - Street 1:7260 E EAGLE CREST DR
Practice Address - Street 2:#50
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-7100
Practice Address - Country:US
Practice Address - Phone:602-499-6055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCRNA0546367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZPENDINGOtherBLUE CROSS BLUE SHIELD
AZPENDINGOtherHEALTHNET
AZPENDINGMedicaid
AZPENDINGOtherHEALTHNET