Provider Demographics
NPI:1255032314
Name:VALDEZ, CRISTINA ALEJANDRA (NP)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ALEJANDRA
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1457 EDELWEISS DR UNIT F
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-3377
Mailing Address - Country:US
Mailing Address - Phone:760-222-5502
Mailing Address - Fax:
Practice Address - Street 1:79200 CORPORATE CENTER DR STE 201
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-7245
Practice Address - Country:US
Practice Address - Phone:760-222-5502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2024-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA95023591363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health