Provider Demographics
NPI:1972946986
Name:EASO, VALSA KURIAN (BSN)
Entity Type:Individual
Prefix:
First Name:VALSA
Middle Name:KURIAN
Last Name:EASO
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 N NATCHEZ AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-3719
Mailing Address - Country:US
Mailing Address - Phone:773-946-3434
Mailing Address - Fax:
Practice Address - Street 1:5008 N NATCHEZ AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656-3719
Practice Address - Country:US
Practice Address - Phone:773-946-3434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-344356163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse