Healthcare Provider Details

I. General information

NPI: 1710811344
Provider Name (Legal Business Name): VALERIE RENEE KUFER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VALERIE RENEE KOGOL RN

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18240 W CIELO GRANDE AVE # A
SURPRISE AZ
85387-2382
US

IV. Provider business mailing address

18240 W CIELO GRANDE AVE # A
SURPRISE AZ
85387-2382
US

V. Phone/Fax

Practice location:
  • Phone: 630-212-7321
  • Fax:
Mailing address:
  • Phone: 630-212-7321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number326079
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: