Provider Demographics
NPI:1821406356
Name:VALENCIA, ANA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:VALENCIA
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 1:1370 NW 114TH ST STE 109
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-7011
Mailing Address - Country:US
Mailing Address - Phone:515-316-6736
Mailing Address - Fax:515-495-7257
Practice Address - Street 1:1370 NW 114TH ST STE 109
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-7011
Practice Address - Country:US
Practice Address - Phone:515-316-6736
Practice Address - Fax:515-495-7257
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-29
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG120613363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health