Healthcare Provider Details

I. General information

NPI: 1528743820
Provider Name (Legal Business Name): KAREN VALERIO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17709 CHATSWORTH ST
GRANADA HILLS CA
91344-5604
US

IV. Provider business mailing address

17709 CHATSWORTH ST
GRANADA HILLS CA
91344-5604
US

V. Phone/Fax

Practice location:
  • Phone: 747-366-0370
  • Fax:
Mailing address:
  • Phone: 747-366-0370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95027025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: