Provider Demographics
NPI:1578330346
Name:VALVERDE, GABRIELA (RN IBCLC)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:VALVERDE
Suffix:
Gender:F
Credentials:RN IBCLC
Other - Prefix:
Other - First Name:GABY
Other - Middle Name:
Other - Last Name:VALVERDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN IBCLC
Mailing Address - Street 1:1214 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-1817
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1214 E 27TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-1817
Practice Address - Country:US
Practice Address - Phone:308-765-9413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE86623163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant