VALERIE PONG


Address: 530 Karen Way, Bullhead City, AZ 86442-6177
Phone: 9285658203

VALERIE PONG (NPI# 1538760921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538760921
Entity Type Individual
Full Name VALERIE PONG
Practice Address 530 Karen Way
Bullhead City
AZ 86442-6177
Practice Telephone 9285658203
Mailing Telephone 9285658203
Enumeration Date 2020-11-03
Last Update Date 2020-11-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
249390 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 530 KAREN WAY
City BULLHEAD CITY
State AZ
Zip Code 86442-6177

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1346869039 Westcare Arizona I, Inc. Substance Abuse Rehabilitation Facility 1160 Agate Rd, Bullhead City, AZ 86442 2020-04-13
1710544895 Assured Medical Supply, Inc. Durable Medical Equipment & Medical Supplies 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 2019-05-23
1306304845 Muna Basnet Bhattarai Nurse Practitioner 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 2019-03-04
1225508757 Desert Springs Urgent Care, PC Clinic/Center 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 2018-11-27
1750863114 Susenie Delva Pierre Nurse Practitioner 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 2018-09-02
1255819736 Phoenix Cancer and Blodd Disorder Treatment Institute Internal Medicine 967 Hancock Rd 133, Bullhead City, AZ 86442 2018-08-06
1487140539 Akdhc, LLC Internal Medicine 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 2018-07-02
1225543036 Tri-state Sinus Center Otolaryngology 2020 Silver Creek, B101, Bullhead City, AZ 86442 2017-12-04
1396297123 Henry Sy Pharmacist 2360 Az-95, Bullhead, AZ 86442 2016-10-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306304845 Muna Basnet Bhattarai Nurse Practitioner 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 2019-03-04
1750863114 Susenie Delva Pierre Nurse Practitioner 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 2018-09-02
1922501378 Brian Ellis Paronto Nurse Practitioner 3735 Highway 95, Bullhead City, AZ 86442-8199 2018-03-13
1972979755 Martin A Rapp Nurse Practitioner 3750 Hway 95, Bullhead City, AZ 86442-8218 2015-08-17
1477931798 Bullhead Family Medical LLC Nurse Practitioner 2840 Hway 95 Ste 420, Bullhead City, AZ 86442-3721 2015-05-07
1548510811 Valley View Physician Practices LLC Nurse Practitioner 3641 Hway 95, Bullhead City, AZ 86442-8151 2012-09-14
1144468398 Kim C. Ford Nurse Practitioner 2500 Canyon Rd, Building B Unite 2, Bullhead City, AZ 86442 2009-01-27
1427148246 Nancy Dooling Nurse Practitioner 813 Hancock Rd, Bullhead City, AZ 86442-5032 2006-10-13
1003854605 Jo Ann Forristal Nurse Practitioner 3735 Hway 95, Bullhead City, AZ 86442-8199 2006-06-04
1376141424 Courtney Ann Sullenger Nurse Practitioner 2182 Highway 95, Bullhead City, AZ 86442-6044 2020-10-12
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Competitor

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City BULLHEAD CITY
Zip Code 86442

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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