Provider Demographics
NPI:1477888667
Name:VALMEO, MYRNA C (NP)
Entity Type:Individual
Prefix:
First Name:MYRNA
Middle Name:C
Last Name:VALMEO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:425 IVY ST APT 5
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1246
Mailing Address - Country:US
Mailing Address - Phone:818-552-3641
Mailing Address - Fax:323-660-6212
Practice Address - Street 1:1300 N VERMONT AVE # 606
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6005
Practice Address - Country:US
Practice Address - Phone:323-660-6200
Practice Address - Fax:323-660-6212
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA18123363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner