Provider Demographics
NPI:1518085075
Name:VALENTINE, PAMALA REED (FNP)
Entity Type:Individual
Prefix:
First Name:PAMALA
Middle Name:REED
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:PAMALA
Other - Middle Name:LEE
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC, MSN
Mailing Address - Street 1:2410 SONOMA ST
Mailing Address - Street 2:STE 1
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-3029
Mailing Address - Country:US
Mailing Address - Phone:530-224-9765
Mailing Address - Fax:530-241-7787
Practice Address - Street 1:2143 AIRPARK DR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2447
Practice Address - Country:US
Practice Address - Phone:530-241-7477
Practice Address - Fax:530-241-7877
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF8453363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner