MEDICARE: GRACE VALDEZ ARNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	70024700	WA

General Provider Information

NPI Number	:	1346645074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE VALDEZ ARNP

Provider Business Mailing Address
First Line	:	9311 SE 36TH ST STE 120
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-3741
Country	:	US
Telephone Number	:	206-312-5373
Fax Number	:	206-791-3968

Provider Business Practice Location Address
First Line	:	9311 SE 36TH ST STE 120
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-3741
Country	:	US
Telephone Number	:	206-312-5373
Fax Number	:

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

Provider Enumeration Date	:	10/23/2014
Last Update Date	:	11/13/2025

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