Healthcare Provider Details

I. General information

NPI: 1386242162
Provider Name (Legal Business Name): VALERIE GENE NELSON DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE GENE CLAUSS

II. Dates (important events)

Enumeration Date: 10/13/2020
Last Update Date: 06/27/2024
Certification Date: 06/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10460 N 92ND ST STE 300
SCOTTSDALE AZ
85258-4547
US

IV. Provider business mailing address

5012 E DIAMOND AVE
MESA AZ
85206-4105
US

V. Phone/Fax

Practice location:
  • Phone: 480-323-1573
  • Fax:
Mailing address:
  • Phone: 623-363-5452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number253661
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number197404
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: