Provider Demographics
NPI:1598579922
Name:VALDEZ, DESERIEE EILEEN
Entity type:Individual
Prefix:
First Name:DESERIEE
Middle Name:EILEEN
Last Name:VALDEZ
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 1:3140 O ST STE 202
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1537
Mailing Address - Country:US
Mailing Address - Phone:402-925-4414
Mailing Address - Fax:
Practice Address - Street 1:3140 O ST STE 202
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-1537
Practice Address - Country:US
Practice Address - Phone:402-925-4414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider