Provider Demographics
NPI:1013268945
Name:MARTIN, VALERIE MAYO (RN, BSN)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:MAYO
Last Name:MARTIN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16415 SE 16TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-5115
Mailing Address - Country:US
Mailing Address - Phone:425-564-8675
Mailing Address - Fax:
Practice Address - Street 1:13505 NE 75TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4032
Practice Address - Country:US
Practice Address - Phone:425-495-3123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00157630163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool