Individual
CAROL ANN VALIQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
15521 W BELL RD, SURPRISE, AZ 85374-3437
(541) 951-1063
Mailing address
15411 W PEAK VIEW RD, SURPRISE, AZ 85387-6368
(541) 951-1063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
235104
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578118088
—
AZ
Enumeration date
08/05/2019
Last updated
04/06/2020
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