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NPI Code Detail

MEDICARE: LUISA FERNANDA VALVERDE PA-C

MEDICARE: LUISA FERNANDA VALVERDE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA2022-0138NM
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1538816020
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUISA FERNANDA VALVERDE PA-C
Provider Business Mailing Address
First Line : 7912 SIERRA ALTOS PL NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87114-5898
Country : US
Telephone Number : 915-449-1318
Fax Number :
Provider Business Practice Location Address
First Line : 11601 MONTGOMERY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-2660
Country : US
Telephone Number : 505-418-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2022
Last Update Date : 06/15/2026

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Directions to “ LUISA FERNANDA VALVERDE PA-C” Practice Location

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