Provider Demographics
NPI:1396997714
Name:YU, VALERIE (RN, CPNP, NNP-BC)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:RN, CPNP, NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W 4TH ST
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79763-4368
Mailing Address - Country:US
Mailing Address - Phone:432-640-1770
Mailing Address - Fax:432-640-1775
Practice Address - Street 1:500 W 4TH ST
Practice Address - Street 2:NICU
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-5001
Practice Address - Country:US
Practice Address - Phone:432-640-1770
Practice Address - Fax:432-640-1775
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX562486363LF0000X, 363LN0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics