Individual
MICHELLE LEONA VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-8028
(719) 589-8086
Mailing address
77 ADCOCK DR, ALAMOSA, CO 81101-8903
(719) 589-2370
(719) 587-0095
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
78188
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12050873
—
CO
01
—
P00294181
MEDICARE RAILROAD CARRIER
CO
Enumeration date
12/05/2005
Last updated
06/30/2016
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