Individual provider · Type 1 NPI

Mauricio Tejada Valencia, APRN

Gerontology Nurse Practitioner · Cape Coral, FL

NPI number 1053091371 Active

Practice location

1528 Del Prado Blvd S
Cape Coral, FL 33990-3798

Fax (239) 458-0666

Mailing address

2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342

Other practice locations

  • 13681 Doctors Way, Fort Myers, FL 33912-4300 · (239) 343-2000
  • 13340 Metro Pkwy Ste 200, Fort Myers, FL 33966-4818 · (239) 343-0550

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X11026534 (FL)
Gerontology Nurse Practitioner Primary 363LG0600XAPRN11026534 (FL)

Gerontology Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1053091371

Mauricio Tejada Valencia, APRN's National Provider Identifier is 1053091371, issued on Jul 21, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cape Coral, FL. The record was last updated on Aug 28, 2024.