Individual
DORAELIA QUIROZ BALDERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
902 LOWELL DR, ROCKY FORD, CO 81067-2104
(830) 719-8219
(719) 697-1758
Mailing address
902 LOWELL DR, ROCKY FORD, CO 81067-2104
(830) 719-8219
(719) 697-1758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0185371
CO
163W00000X
Registered Nurse
0185371
TX
363LF0000X
Family Nurse Practitioner
Primary
1000688
CO
Other
Enumeration date
10/19/2024
Last updated
04/24/2026
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