Provider Demographics
NPI:1932549573
Name:BUENAFLOR, VALERIE MARIE (FNP)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:MARIE
Last Name:BUENAFLOR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 G ST
Mailing Address - Street 2:SUITE 2 A
Mailing Address - City:BRAWLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92227-2568
Mailing Address - Country:US
Mailing Address - Phone:760-351-2127
Mailing Address - Fax:760-351-2163
Practice Address - Street 1:608 G ST
Practice Address - Street 2:SUITE 2 A
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227-2568
Practice Address - Country:US
Practice Address - Phone:760-351-2127
Practice Address - Fax:760-351-2163
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23183363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily