Provider Demographics
NPI:1225592215
Name:VALDEZ, ANA GABRIELA (RN)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:GABRIELA
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3117 SPRING WILLOW
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-5477
Mailing Address - Country:US
Mailing Address - Phone:915-319-6821
Mailing Address - Fax:
Practice Address - Street 1:3117 SPRING WILLOW
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-5477
Practice Address - Country:US
Practice Address - Phone:915-319-6821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX893986163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse