Provider Demographics
NPI:1689010282
Name:MARQUEZ-VALDEPENA, LUCIA (NP)
Entity Type:Individual
Prefix:
First Name:LUCIA
Middle Name:
Last Name:MARQUEZ-VALDEPENA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5160 MEMORY DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-2246
Mailing Address - Country:US
Mailing Address - Phone:915-487-2087
Mailing Address - Fax:915-921-0004
Practice Address - Street 1:5300 MCNUTT RD STE 8
Practice Address - Street 2:
Practice Address - City:SANTA TERESA
Practice Address - State:NM
Practice Address - Zip Code:88008-9647
Practice Address - Country:US
Practice Address - Phone:915-921-0004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123520207Q00000X, 363LF0000X
NM77474363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily