| Organization Name: | VALENCIA FAMILY MEDICINE & EXPRESS CARE |
| NPI Number: | 1023255510 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEONA MARIE HERRELL (FAMILY NURSE PRACTITIONER) |
| Mailing Address: | 311 S. Los Lentes Los Lunas |
| State: | NM US |
| Postal Code: | 87031 |
| Phone Number: | 5055652232 |
| Fax Number: | 5055652272 |
| NPI Enumeration Date: | 01/21/2009 |
| NPI Last Update Date: | 01/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | R35144 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |