Provider Demographics
NPI:1326782020
Name:VALDEZ, SANDRA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:MARIE
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 1:1454 AUTUMN DAWN CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5254
Mailing Address - Country:US
Mailing Address - Phone:832-594-5282
Mailing Address - Fax:
Practice Address - Street 1:1454 AUTUMN DAWN CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-5254
Practice Address - Country:US
Practice Address - Phone:832-594-5282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator