Healthcare Provider Details
I. General information
NPI: 1881262848
Provider Name (Legal Business Name): VALOR HEALTH INNOVATIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2021
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1800 E VAN BUREN ST
PHOENIX AZ
85006-3742
US
IV. Provider business mailing address
3241 E SHEA BLVD # 409
PHOENIX AZ
85028-3335
US
V. Phone/Fax
- Phone: 602-251-8535
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANTHONY
OJEME
Title or Position: OWNER
Credential: PMHNP
Phone: 623-308-2472