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NPI Code Detail

MEDICARE: MR. JON-RAYMOND VALDEZ MSN, APRN, PMHNP-BC

MEDICARE:  MR. JON-RAYMOND  VALDEZ  MSN, APRN, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner876948NV

General Provider Information

NPI Number : 1881434025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JON-RAYMOND VALDEZ MSN, APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 5524 S FORT APACHE RD STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-7669
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5524 S FORT APACHE RD STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-7669
Country : US
Telephone Number : 702-664-9614
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2024
Last Update Date : 05/27/2024

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Directions to “ MR. JON-RAYMOND VALDEZ MSN, APRN, PMHNP-BC” Practice Location

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