Provider Demographics
NPI:1346645074
Name:VALDEZ, GRACE (ARNP)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:GRACIELA
Other - Middle Name:
Other - Last Name:VALDEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:9311 SE 36TH ST STE 120
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3741
Mailing Address - Country:US
Mailing Address - Phone:206-312-5373
Mailing Address - Fax:
Practice Address - Street 1:9311 SE 36TH ST STE 120
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-3741
Practice Address - Country:US
Practice Address - Phone:206-312-5373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA70024700363LP0808X
WA60155533163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health