Healthcare Provider Details

I. General information

NPI: 1699132597
Provider Name (Legal Business Name): VALERIE ANN PALACIOS-CHAPA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2016
Last Update Date: 10/06/2021
Certification Date: 10/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7010 E ACOMA DR STE 102
SCOTTSDALE AZ
85254-3550
US

IV. Provider business mailing address

7010 E ACOMA DR STE 102
SCOTTSDALE AZ
85254-3550
US

V. Phone/Fax

Practice location:
  • Phone: 480-575-0576
  • Fax: 480-575-0512
Mailing address:
  • Phone: 480-575-0576
  • Fax: 480-575-0512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP8393
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberAP8393
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: