Healthcare Provider Details

I. General information

NPI: 1952282063
Provider Name (Legal Business Name): LAURENA ESTHER CURLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 10/24/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 GRANDE BLVD SE STE B
RIO RANCHO NM
87124-1695
US

IV. Provider business mailing address

9677 EAGLE RANCH RD NW APT 1615
ALBUQUERQUE NM
87114-2323
US

V. Phone/Fax

Practice location:
  • Phone: 505-218-6383
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: