Provider Demographics
NPI:1578925590
Name:OAKS, VALVERENE (LVN)
Entity Type:Individual
Prefix:MS
First Name:VALVERENE
Middle Name:
Last Name:OAKS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1793
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-1793
Mailing Address - Country:US
Mailing Address - Phone:682-220-9968
Mailing Address - Fax:
Practice Address - Street 1:515 TISH CIR APT 2018
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-2459
Practice Address - Country:US
Practice Address - Phone:682-220-9968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2019-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT027111164W00000X
TX198531164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse