Provider Demographics
NPI:1851724066
Name:VALLES, ARANDIA NICOLE (RN)
Entity Type:Individual
Prefix:MS
First Name:ARANDIA
Middle Name:NICOLE
Last Name:VALLES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 COLUMBIA ST APT 16E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-2669
Mailing Address - Country:US
Mailing Address - Phone:917-207-5391
Mailing Address - Fax:
Practice Address - Street 1:71 COLUMBIA ST APT 16E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-2669
Practice Address - Country:US
Practice Address - Phone:917-207-5391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY669960163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse