Provider Demographics
NPI:1730988205
Name:VALADEZ, ERIN NICOLE SZOPIAK (MS, RDN, LD, CCMS)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:NICOLE SZOPIAK
Last Name:VALADEZ
Suffix:
Gender:F
Credentials:MS, RDN, LD, CCMS
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:NICOLE
Other - Last Name:SZOPIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:406 NW PALOMINO ST
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-7388
Mailing Address - Country:US
Mailing Address - Phone:281-687-8486
Mailing Address - Fax:
Practice Address - Street 1:406 NW PALOMINO ST
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-7388
Practice Address - Country:US
Practice Address - Phone:281-687-8486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1739133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered