Provider Demographics
NPI:1457049199
Name:HAMPTON, VALERIE DENISE (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:DENISE
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16565 W GRANT ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-2791
Mailing Address - Country:US
Mailing Address - Phone:850-529-4132
Mailing Address - Fax:
Practice Address - Street 1:16565 W GRANT ST
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-2791
Practice Address - Country:US
Practice Address - Phone:850-529-4132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ290267363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health