Provider Demographics
NPI:1407576929
Name:VALDEZ, ASHLEY NICOLE (APRN-CNP)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:NICOLE
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W. HALSELL
Mailing Address - Street 2:300 W. HALSELL
Mailing Address - City:DIMMITT
Mailing Address - State:TX
Mailing Address - Zip Code:79027
Mailing Address - Country:US
Mailing Address - Phone:806-647-2194
Mailing Address - Fax:806-647-3769
Practice Address - Street 1:300 W. HALSELL
Practice Address - Street 2:300 W. HALSELL
Practice Address - City:DIMMITT
Practice Address - State:TX
Practice Address - Zip Code:79027
Practice Address - Country:US
Practice Address - Phone:806-647-2194
Practice Address - Fax:806-647-3769
Is Sole Proprietor?:No
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1091863363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily