Provider Demographics
NPI:1356707889
Name:KAURA, VALERIE CHRISTINE (NP)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:CHRISTINE
Last Name:KAURA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2048 E COLUNGA ST
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-7511
Mailing Address - Country:US
Mailing Address - Phone:951-236-5891
Mailing Address - Fax:
Practice Address - Street 1:2048 E COLUNGA ST
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-7511
Practice Address - Country:US
Practice Address - Phone:951-236-5891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily