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NPI Code Detail

MEDICARE: SYLVIA PATRICIA VALENZUELA PMHNP, FNP-C

MEDICARE: SYLVIA PATRICIA VALENZUELA PMHNP, FNP-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
1363LF0000XFamily Nurse PractitionerAP4470AZ
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP4470AZ

Other Identifiers

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

General Provider Information

NPI Number : 1578822680
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVIA PATRICIA VALENZUELA PMHNP, FNP-C
Provider Business Mailing Address
First Line : PO BOX 86537
Second Line :
City : TUCSON
State : AZ
Zip : 85754-6537
Country : US
Telephone Number : 520-721-1887
Fax Number : 520-372-7126
Provider Business Practice Location Address
First Line : 5055 E BROADWAY BLVD STE A200
Second Line :
City : TUCSON
State : AZ
Zip : 85711-3649
Country : US
Telephone Number : 520-721-1887
Fax Number : 520-721-0069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2012
Last Update Date : 08/14/2024

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Directions to “ SYLVIA PATRICIA VALENZUELA PMHNP, FNP-C” Practice Location

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