Provider Demographics
NPI:1356469910
Name:VALENZUELA, SYLVIA JOYCE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:JOYCE
Last Name:VALENZUELA
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 1:1545 MISSION DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:AZ
Mailing Address - Zip Code:85607-1815
Mailing Address - Country:US
Mailing Address - Phone:520-364-2447
Mailing Address - Fax:520-805-5537
Practice Address - Street 1:840 E 12TH ST
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:AZ
Practice Address - Zip Code:85607-1936
Practice Address - Country:US
Practice Address - Phone:520-364-2447
Practice Address - Fax:520-805-5537
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN021004390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program