Healthcare Provider Details

I. General information

NPI: 1285246744
Provider Name (Legal Business Name): YVETT VALENCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E UNIVERSITY BLVD
TUCSON AZ
85721-3179
US

IV. Provider business mailing address

8199 S SOLTERO MINE DR
TUCSON AZ
85747-0108
US

V. Phone/Fax

Practice location:
  • Phone: 520-621-2211
  • Fax:
Mailing address:
  • Phone: 520-425-9899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number316473
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: