Valdes, Richard R

Valdes, Richard R is an sole proprietor health care provider with primary practice located at 2920 N 4Th St , Flagstaff AZ 86004-1816. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Valdes, Richard R can be contacted via phone (928) 213-6100.

Contact Information

Primary practice address
2920 N 4Th St Flagstaff AZ 86004-1816
Phone: (928) 213-6100
Fax: (928) 774-4808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP1785 Arizona

Profile Details

NPI number 1023051273
LBN Legal business name Valdes, Richard R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Apr 1st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023051273 NPPES
Arizona MEDICAID 926818

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