Organization
VALENCIA FAMILY MEDICINE & EXPRESS CARE
Active
Other names
Valencia Family Medicine & Express Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEONA MARIE HERRELL FNP-C (FAMILY NURSE PRACTITIONER)
(505) 565-2232
Entity
Organization
Contact information
Practice address
311 S. LOS LENTES, LOS LUNAS, NM 87031
(505) 565-2232
(505) 565-2272
Mailing address
311 S. LOS LENTES, LOS LUNAS, NM 87031
(505) 565-2232
(505) 565-2272
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R35144
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
NPI
NM
Enumeration date
01/21/2009
Last updated
01/21/2009
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