Provider Demographics
NPI:1922663368
Name:VALERIO-FERNANDEZ, MARIANA (RN)
Entity Type:Individual
Prefix:
First Name:MARIANA
Middle Name:
Last Name:VALERIO-FERNANDEZ
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 1:2203 FRIARWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4619
Mailing Address - Country:US
Mailing Address - Phone:832-995-8810
Mailing Address - Fax:
Practice Address - Street 1:2203 FRIARWOOD TRL
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4619
Practice Address - Country:US
Practice Address - Phone:832-995-8810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX963881163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health