Provider Demographics
NPI:1588920243
Name:VALENZONA, JULIETA GILDA (NP-C, APRN)
Entity type:Individual
Prefix:MS
First Name:JULIETA
Middle Name:GILDA
Last Name:VALENZONA
Suffix:
Gender:F
Credentials:NP-C, APRN
Other - Prefix:MS
Other - First Name:JULIETA
Other - Middle Name:
Other - Last Name:VALENZONA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-C, APRN
Mailing Address - Street 1:1800 HOWELL MILL RD NW STE 800
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-0922
Mailing Address - Country:US
Mailing Address - Phone:678-298-3239
Mailing Address - Fax:678-829-1099
Practice Address - Street 1:1267 HIGHWAY 54 W STE 4200
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-2112
Practice Address - Country:US
Practice Address - Phone:678-829-1060
Practice Address - Fax:678-829-1099
Is Sole Proprietor?:No
Enumeration Date:2012-04-07
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN192534363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health