| Doctor Name: | MICHELLE LEONA VALDEZ |
| NPI Number: | 1114901931 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 78188 |
| Business Practice Address: | 106 Blanca Ave Alamosa, CO - 811012340 |
| Business Phone Number: | 7195898028 |
| Business Fax Number: | 7195898086 |
| Mailing Address: | Po Box 5625, DENVER |
| State: | CO |
| Postal Code: | 802175625 |
| Phone Number: | 7195893000 |
| Fax Number: | 7195871372 |
| NPI Enumeration Date: | 12/05/2005 |
| NPI Last Update Date: | 11/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 78188 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |