RAQUEL VALDIVIESO


Address: 1525 Laurel Crossing Pkwy, 1026, Buford, GA 30516-6586
Phone: 7705447473

RAQUEL VALDIVIESO (NPI# 1588828024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588828024
Entity Type Individual
Full Name RAQUEL VALDIVIESO
Credential R.N.
Practice Address 1525 Laurel Crossing Pkwy
1026
Buford
GA 30516-6586
Practice Telephone 7705447473
Mailing Telephone 7705447473
Enumeration Date 2008-07-14
Last Update Date 2009-04-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WA2000X Registered Nurse
Specialization: Administrator
RN192878 GA Nursing Service Providers
Y 163WH0200X Registered Nurse
Specialization: Home Health
RN192878 GA Nursing Service Providers

Office Location

Street Address 1525 LAUREL CROSSING PKWY
1026
City BUFORD
State GA
Zip Code 30516-6586

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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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Competitor

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City BUFORD
Zip Code 30516

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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