Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | AP8393 | AZ |
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP8393 | AZ |
NPI | 1699132597 |
---|---|
Provider Name | Mrs. Valerie Ann Palacios-Chapa |
First Address | Scottsdale, AZ 85254-3550 |
Second Address | Scottsdale, AZ 85254-3550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2016 |
Last Update Date | 06/10/2021 |