Provider Demographics
NPI:1467296459
Name:MITCHELL, NUBIANA VALENCIA
Entity type:Individual
Prefix:
First Name:NUBIANA
Middle Name:VALENCIA
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 SAN LEANDRO BLVD APT 1121
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578-5043
Mailing Address - Country:US
Mailing Address - Phone:919-741-0418
Mailing Address - Fax:
Practice Address - Street 1:UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND
Practice Address - Street 2:747 52ND STREET
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609
Practice Address - Country:US
Practice Address - Phone:510-428-3885
Practice Address - Fax:510-601-3913
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program