Provider Demographics
NPI:1053944132
Name:SCHUR, VALERIE (ND)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:SCHUR
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:RIE
Other - Middle Name:
Other - Last Name:SCHUR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:1550 TERRACE WAY APT 10
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-3061
Mailing Address - Country:US
Mailing Address - Phone:206-409-1462
Mailing Address - Fax:
Practice Address - Street 1:1551 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-3568
Practice Address - Country:US
Practice Address - Phone:206-409-1462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1124175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath