Individual provider · Type 1 NPI
Lorine Derusha
Nurse Practitioner · Albuquerque, NM
Practice location
625 Silver Ave SW Fl 2
Albuquerque, NM 87102-3123
Fax (505) 272-6845
Mailing address
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 59142 (NM) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
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About NPI 1912538844
Lorine Derusha's National Provider Identifier is 1912538844, issued on Jan 29, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Albuquerque, NM. The record was last updated on Feb 12, 2025.