Provider Demographics
NPI:1144194069
Name:VALLERY, ANNELISA
Entity type:Individual
Prefix:
First Name:ANNELISA
Middle Name:
Last Name:VALLERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14900 MAGNOLIA BLVD UNIT 5475
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91413-7032
Mailing Address - Country:US
Mailing Address - Phone:323-364-3765
Mailing Address - Fax:
Practice Address - Street 1:14900 MAGNOLIA BLVD UNIT 5475
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91413-7032
Practice Address - Country:US
Practice Address - Phone:323-364-2765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula