Individual
VALERIE R RICHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-6200
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
75595
NM
363LP2300X
Primary Care Nurse Practitioner
75595
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75595
NM LICENSE
NM
Enumeration date
09/20/2023
Last updated
10/11/2024
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