Provider Demographics
NPI:1457053456
Name:SCALZULLO, VALENTINA NONE (NP)
Entity Type:Individual
Prefix:MRS
First Name:VALENTINA
Middle Name:NONE
Last Name:SCALZULLO
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 1:847 W CALLE CALCA
Mailing Address - Street 2:
Mailing Address - City:SAHUARITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85629-0907
Mailing Address - Country:US
Mailing Address - Phone:520-390-7425
Mailing Address - Fax:
Practice Address - Street 1:847 W CALLE CALCA
Practice Address - Street 2:
Practice Address - City:SAHUARITA
Practice Address - State:AZ
Practice Address - Zip Code:85629-0907
Practice Address - Country:US
Practice Address - Phone:520-390-7425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ223308363LG0600X, 163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology