Provider Demographics
NPI:1225572811
Name:VALDEZ, VALERIE ALEYDA (FNP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ALEYDA
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:ALEYDA LUNA
Other - Last Name:VALDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10103 STONEHAM ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-8030
Mailing Address - Country:US
Mailing Address - Phone:661-487-6620
Mailing Address - Fax:
Practice Address - Street 1:1530 E 19TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-5406
Practice Address - Country:US
Practice Address - Phone:661-631-5895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95004590363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily