Provider Demographics
NPI:1295866440
Name:VALENT, ANDRIA (LMT)
Entity Type:Individual
Prefix:
First Name:ANDRIA
Middle Name:
Last Name:VALENT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ANDRIA
Other - Middle Name:
Other - Last Name:STOWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:10304 N HAYDEN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1217
Mailing Address - Country:US
Mailing Address - Phone:480-273-2006
Mailing Address - Fax:480-336-2936
Practice Address - Street 1:10304 N HAYDEN RD STE 2
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1217
Practice Address - Country:US
Practice Address - Phone:480-273-2006
Practice Address - Fax:480-336-2936
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00016660174400000X
AZMT10830174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist