Provider Demographics
NPI:1760995831
Name:VALERA, SAUNDRA (CRNP)
Entity Type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:
Last Name:VALERA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SAUNDRA
Other - Middle Name:
Other - Last Name:STAMPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:7250 PARKWAY DR STE 500
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1343
Mailing Address - Country:US
Mailing Address - Phone:443-949-0814
Mailing Address - Fax:443-949-0825
Practice Address - Street 1:1454 FAIRFIELD LOOP RD
Practice Address - Street 2:
Practice Address - City:CROWNSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21032
Practice Address - Country:US
Practice Address - Phone:410-987-6338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR239128363LF0000X
IN71007628A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily