Provider Demographics
NPI:1992985857
Name:SHURLEY, VALERIE N (MS, RD)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:N
Last Name:SHURLEY
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:MISS
Other - First Name:VALERIE
Other - Middle Name:M
Other - Last Name:NAYMICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2401 S 31ST ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76508-0001
Mailing Address - Country:US
Mailing Address - Phone:254-724-4669
Mailing Address - Fax:
Practice Address - Street 1:2401 S 31ST ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76508-0002
Practice Address - Country:US
Practice Address - Phone:254-724-4669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal