MEDICARE: CHRISTINE VALENTA A/GNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	RN051010	AZ
2	363LG0600X	Gerontology Nurse Practitioner	RN051010	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093791055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE VALENTA A/GNP

Provider Business Mailing Address
First Line	:	1775 E SKYLINE DR
Second Line	:	101
City	:	TUCSON
State	:	AZ
Zip	:	85718-1162
Country	:	US
Telephone Number	:	520-615-6200
Fax Number	:	520-615-6255

Provider Business Practice Location Address
First Line	:	13101 N ORACLE RD
Second Line	:	169
City	:	TUCSON
State	:	AZ
Zip	:	85739-9554
Country	:	US
Telephone Number	:	520-825-0300
Fax Number	:	520-825-0047

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	09/11/2025

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Directions to “ CHRISTINE VALENTA A/GNP” Practice Location

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