Healthcare Provider Details

I. General information

NPI: 1295924934
Provider Name (Legal Business Name): SYLVIA VALADEZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2007
Last Update Date: 10/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10315 E BROADWAY BLVD
TUCSON AZ
85748-3409
US

IV. Provider business mailing address

161 WASHINGTON ST FL 14 EIGHT TOWER BRIDGE SUITE 1400
CONSHOHOCKEN PA
19428-2083
US

V. Phone/Fax

Practice location:
  • Phone: 866-825-3227
  • Fax:
Mailing address:
  • Phone: 484-351-3206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP1053
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: