Provider Demographics
NPI:1639173990
Name:VALERIUS, ARNOLD JAMES (PHD, RN, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:JAMES
Last Name:VALERIUS
Suffix:
Gender:M
Credentials:PHD, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9242 E HELEN ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-5728
Mailing Address - Country:US
Mailing Address - Phone:520-445-5344
Mailing Address - Fax:
Practice Address - Street 1:8920 E TANQUE VERDE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-9604
Practice Address - Country:US
Practice Address - Phone:520-760-9188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246QB0000X, 246QM0706X
WI1306-033363LF0000X
AZAP0601363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No246QB0000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyBlood Banking
No246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
S44836Medicare UPIN