Provider Demographics
NPI:1275541674
Name:ISAACSON, VALERIE (RN CNS)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:ISAACSON
Suffix:
Gender:F
Credentials:RN CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1165 LINCOLN AVE
Mailing Address - Street 2:STE.300
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-3043
Mailing Address - Country:US
Mailing Address - Phone:408-278-7077
Mailing Address - Fax:408-207-0164
Practice Address - Street 1:1165 LINCOLN AVE
Practice Address - Street 2:STE.300
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-3043
Practice Address - Country:US
Practice Address - Phone:408-287-3785
Practice Address - Fax:408-207-0164
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAQ18411Medicare UPIN
CAZZZ29734ZMedicare ID - Type Unspecified