Provider Demographics
NPI:1730974635
Name:MADERA-VALDEZ, ANA (PMHNP-BC, MSN, OCN)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:MADERA-VALDEZ
Suffix:
Gender:F
Credentials:PMHNP-BC, MSN, OCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 THE GRN
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3618
Mailing Address - Country:US
Mailing Address - Phone:347-822-0355
Mailing Address - Fax:
Practice Address - Street 1:800 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-3240
Practice Address - Country:US
Practice Address - Phone:347-822-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15315800363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health