Healthcare Provider Details

I. General information

NPI: 1528913852
Provider Name (Legal Business Name): HOPEFUL REDEMPTION WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SHADOWS DR
LOS LUNAS NM
87031-7651
US

IV. Provider business mailing address

4 SHADOWS DR
LOS LUNAS NM
87031-7651
US

V. Phone/Fax

Practice location:
  • Phone: 505-550-7362
  • Fax:
Mailing address:
  • Phone: 505-550-7362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BERNADETTE MARIE PEREA-ZAMORA
Title or Position: C0-OWNER
Credential: FNP-BC
Phone: 505-550-7362