Basic Information
Provider Information
NPI: 1780181255
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VALENCIA
FirstName: VALERIE
MiddleName: ANN
NamePrefix: DR.
NameSuffix:  
Credential: DNP, APRN, FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 20405 STATE HIGHWAY 249 STE 325
Address2:  
City: HOUSTON
State: TX
PostalCode: 770702893
CountryCode: US
TelephoneNumber: 8668490692
FaxNumber: 8889738821
Practice Location
Address1: 20405 STATE HIGHWAY 249 STE 325
Address2:  
City: HOUSTON
State: TX
PostalCode: 770702893
CountryCode: US
TelephoneNumber: 8668490692
FaxNumber: 8889738821
Other Information
ProviderEnumerationDate: 04/10/2018
LastUpdateDate: 05/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP136506TXY193400000X SINGLE SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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