Provider Demographics
NPI:1184758112
Name:VALDEZ, JUANITA M (RN)
Entity type:Individual
Prefix:MRS
First Name:JUANITA
Middle Name:M
Last Name:VALDEZ
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 1:4067 S SABLE CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5177
Mailing Address - Country:US
Mailing Address - Phone:303-513-1957
Mailing Address - Fax:
Practice Address - Street 1:15559 E ILIFF AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-1035
Practice Address - Country:US
Practice Address - Phone:303-873-4400
Practice Address - Fax:303-745-6146
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN-106508163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health