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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RODOLFO VALENZUELA IV, NP

Active Sole Proprietor

Family Nurse Practitioner · SAN LUIS, AZ

Registration Details

NPI Number
1740367374
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2006 (19.479609821093 yrs)
Last Updated
Jul 20, 2007
Licenses
15970 (CA)
AP1549 (AZ)
9209973 (FL)
Sole Proprietor
Yes

Practice Information

Address
1914 E. JUAN SANCHEZ BLVD.
2
SAN LUIS, AZ, 853496805
Browse AZ providers · Browse ZIP 85349
Phone
9286272055
Fax
9286272456
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in SAN LUIS, AZ

Name Credential NPI
GREGORY ALLEN LARSON FNP-BC 1578536892
MR. STEVEN LEE COVINGTON FNP 1851413231
WILLIAM RUSSELL MCNAIR FNP 1780913236
MRS. LEAH K MCNAIR NP 1104128255
MRS. CLARISSE VANESSA NGUEHA-NANA 1356894240
HECTOR ISRAEL DE LA TORRE FNP-BC 1205370293
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.