MEDICARE: ANGELA VALADEZ RN

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	163W00000X	Registered Nurse	041.524441	IL

General Provider Information

NPI Number	:	1730980715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA VALADEZ RN

Provider Business Mailing Address
First Line	:	2320 COACH AND SURREY LN
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60506-4412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1317 MARSEILLAISE PL
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60506-4723
Country	:	US
Telephone Number	:	630-844-6896
Fax Number	:

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

Provider Enumeration Date	:	03/24/2025
Last Update Date	:	03/24/2025

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