Provider Demographics
NPI:1679363741
Name:CLAXTON, VALERIE (RN, BSN, IBCLC, ICCE)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:CLAXTON
Suffix:
Gender:
Credentials:RN, BSN, IBCLC, ICCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 TIOGA DR
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95242-2649
Mailing Address - Country:US
Mailing Address - Phone:717-330-6364
Mailing Address - Fax:
Practice Address - Street 1:327 TIOGA DR
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95242-2649
Practice Address - Country:US
Practice Address - Phone:717-330-6364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95041234163W00000X, 163WW0101X, 163WX0002X, 163WH0200X
VAL-316832163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk