Provider Demographics
NPI:1578037412
Name:VALENTINE, MARGARET D (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:D
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 VALLEY CIRCLE BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-5949
Mailing Address - Country:US
Mailing Address - Phone:818-595-7569
Mailing Address - Fax:818-710-9023
Practice Address - Street 1:5440 VALLEY CIRCLE BLVD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-5949
Practice Address - Country:US
Practice Address - Phone:818-595-7569
Practice Address - Fax:818-710-9023
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN377521163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty