Provider Demographics
NPI:1851631923
Name:VALENTINE, BLANCA ESTELLA (RN, NP, CNS)
Entity Type:Individual
Prefix:MS
First Name:BLANCA
Middle Name:ESTELLA
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:RN, NP, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 52ND ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1809
Mailing Address - Country:US
Mailing Address - Phone:510-204-1627
Mailing Address - Fax:510-204-2408
Practice Address - Street 1:2450 ASHBY AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2067
Practice Address - Country:US
Practice Address - Phone:510-204-1627
Practice Address - Fax:510-204-2408
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA398064282NC2000X, 282NW0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren
No282NW0100XHospitalsGeneral Acute Care HospitalWomen