Provider Demographics
NPI:1669166849
Name:VALENTI, OLIVIA (FNP)
Entity type:Individual
Prefix:MS
First Name:OLIVIA
Middle Name:
Last Name:VALENTI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 WALNUT ST APT 10
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-3152
Mailing Address - Country:US
Mailing Address - Phone:650-619-8010
Mailing Address - Fax:
Practice Address - Street 1:736 WALNUT ST APT 10
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-3152
Practice Address - Country:US
Practice Address - Phone:650-619-8010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025375207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine