Individual
LORINE DERUSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 SILVER AVE SW FL 2, ALBUQUERQUE, NM 87102-3123
(506) 273-6849
(505) 272-6845
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
59142
NM
Other
Enumeration date
01/29/2020
Last updated
02/12/2025
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