Basic Information
Provider Information
NPI: 1548622509
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VALDEZ
FirstName: APRIL
MiddleName: L.
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 550 GAGE BLVD STE 101
Address2:  
City: RICHLAND
State: WA
PostalCode: 993529532
CountryCode: US
TelephoneNumber: 5099423627
FaxNumber: 5096272983
Practice Location
Address1: 1100 GOETHALS DR STE F
Address2:  
City: RICHLAND
State: WA
PostalCode: 993523301
CountryCode: US
TelephoneNumber: 5099423272
FaxNumber: 5099423273
Other Information
ProviderEnumerationDate: 03/28/2016
LastUpdateDate: 01/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN00150354WAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XAP60652755WAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LA2200XAP60652755WAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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