Individual
AUTUMN VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 W MAPLE ST, FARMINGTON, NM 87401-5968
(505) 609-6349
Mailing address
PO BOX 376, BLANCO, NM 87412-0376
(505) 330-4479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
91127
NM
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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