Healthcare Provider Details

I. General information

NPI: 1720810120
Provider Name (Legal Business Name): RACHEL RENEE VALERIO FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 W US ROUTE 66
MORIARTY NM
87035-1006
US

IV. Provider business mailing address

2225 ELIZABETH ST NE
ALBUQUERQUE NM
87112-3000
US

V. Phone/Fax

Practice location:
  • Phone: 505-832-4434
  • Fax: 505-832-5024
Mailing address:
  • Phone: 505-459-0118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0104076-C-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number80317
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: