Provider Demographics
NPI:1346658564
Name:ANTON-VALDEZ, LIZA ANNA (DNP, MSN,NP-C)
Entity Type:Individual
Prefix:
First Name:LIZA
Middle Name:ANNA
Last Name:ANTON-VALDEZ
Suffix:
Gender:F
Credentials:DNP, MSN,NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LAKE HILLS RD
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-9639
Mailing Address - Country:US
Mailing Address - Phone:910-724-0182
Mailing Address - Fax:
Practice Address - Street 1:206 COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-7059
Practice Address - Country:US
Practice Address - Phone:201-383-1949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5012110363L00000X, 363LA2200X
NJ26NJ00511600363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner