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NPI Code Detail

MEDICARE: DIANA VALENCIA RN

MEDICARE: DIANA VALENCIA 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
1163W00000XRegistered NurseRN24137NV

General Provider Information

NPI Number : 1790106037
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA VALENCIA RN
Provider Business Mailing Address
First Line : 330 S VALLEY VIEW BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-4361
Country : US
Telephone Number : 702-759-1370
Fax Number : 702-633-0975
Provider Business Practice Location Address
First Line : 330 S VALLEY VIEW BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-4361
Country : US
Telephone Number : 702-759-1370
Fax Number : 702-633-0975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2014
Last Update Date : 02/08/2026

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