Provider Demographics
NPI:1043918170
Name:TREANOR, VALERIA (RN)
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:
Last Name:TREANOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:VALERIA
Other - Middle Name:
Other - Last Name:GARCIA REYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4847 W PALO VERDE DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-6162
Mailing Address - Country:US
Mailing Address - Phone:623-203-8190
Mailing Address - Fax:
Practice Address - Street 1:4847 W PALO VERDE DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-6162
Practice Address - Country:US
Practice Address - Phone:623-203-8190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ281233163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse