MEDICARE: VALERIE MORAE SIZEMORE NP-C

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	363L00000X	Nurse Practitioner	NP15723	CA

General Provider Information

NPI Number	:	1447261623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE MORAE SIZEMORE NP-C

Provider Business Mailing Address
First Line	:	215 E CALDWELL AVE
Second Line	:	SUITE A
City	:	VISALIA
State	:	CA
Zip	:	93277-7605
Country	:	US
Telephone Number	:	559-622-9800
Fax Number	:	559-622-9871

Provider Business Practice Location Address
First Line	:	215 E CALDWELL AVE
Second Line	:	SUITE A
City	:	VISALIA
State	:	CA
Zip	:	93277-7605
Country	:	US
Telephone Number	:	559-622-9800
Fax Number	:	559-622-9871

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

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	05/20/2013

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