Provider Demographics
NPI:1881564581
Name:VALENZUELA, MICHELLE LEE (APRN-RNP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LEE
Last Name:VALENZUELA
Suffix:
Gender:F
Credentials:APRN-RNP
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:LEE
Other - Last Name:VALENZUELA WAER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN-RNP
Mailing Address - Street 1:10201 E CALLE COSTA DEL SOL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-5173
Mailing Address - Country:US
Mailing Address - Phone:520-305-1863
Mailing Address - Fax:
Practice Address - Street 1:9172 S HOUGHTON RD STE 130
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-9748
Practice Address - Country:US
Practice Address - Phone:520-305-1863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ331700363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health