Healthcare Provider Details

I. General information

NPI: 1992985857
Provider Name (Legal Business Name): VALERIE N SHURLEY MS, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS VALERIE M NAYMICK

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 S 31ST ST
TEMPLE TX
76508-0002
US

IV. Provider business mailing address

2401 S 31ST ST
TEMPLE TX
76508-0001
US

V. Phone/Fax

Practice location:
  • Phone: 254-724-4669
  • Fax:
Mailing address:
  • Phone: 254-724-4669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: