Individual provider · Type 1 NPI

Angela Ghazazadeh Vallenari

Nurse Practitioner · West Allis, WI

NPI number 1194141291 Active

Practice location

8905 W Lincoln Ave, Suite 501
West Allis, WI 53227-2468

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5707 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194141291

Angela Ghazazadeh Vallenari's National Provider Identifier is 1194141291, issued on Mar 13, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Allis, WI. The record was last updated on Sep 27, 2023.