Provider Demographics
NPI:1578895777
Name:VALENZUELA, FLORITA MADLANGBAYAN (MSN, RN, ACNP-BC)
Entity Type:Individual
Prefix:
First Name:FLORITA
Middle Name:MADLANGBAYAN
Last Name:VALENZUELA
Suffix:
Gender:F
Credentials:MSN, RN, ACNP-BC
Other - Prefix:
Other - First Name:FLORITA
Other - Middle Name:UNGAB
Other - Last Name:MADLANGBAYAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, RN, ACNP-BC
Mailing Address - Street 1:8700 BEVERLY BLVD
Mailing Address - Street 2:BECKER BUILDING #220
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1804
Mailing Address - Country:US
Mailing Address - Phone:310-869-0053
Mailing Address - Fax:
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:BECKER BUILDING #220
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-869-0053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP19246363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care