Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 2007-0747 | NM |
N | 207R00000X | Internist | 2007-0747 | NM |
N | 111NI0900X | Internist | 2007-0747 | NM |
N | 207R00000X | Internist | 68829 | FL |
N | 111NI0900X | Internist | 68829 | FL |
N | 207RA0201X | Internist - Allergy & Immunology | 68829 | FL |
NPI | 1285826867 |
---|---|
Provider Name | Valerie S Tausch |
First Address | Albuquerque, NM 87110-7438 |
Second Address | Albuquerque, NM 87110-7438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2007 |
Last Update Date | 28/04/2009 |