Provider Demographics
NPI:1477115277
Name:VALENTINO, ALICIA MARIE (DNP, ARNP)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:MARIE
Last Name:VALENTINO
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:MARIE
Other - Last Name:CLIFTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7220 214TH AVE E
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-8731
Mailing Address - Country:US
Mailing Address - Phone:253-486-4572
Mailing Address - Fax:
Practice Address - Street 1:1101 ANDOVER PARK W STE 107
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-3911
Practice Address - Country:US
Practice Address - Phone:253-366-8756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60918919163W00000X
WAAP61344528363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse