Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lorine Derusha

Individual provider Nurse Practitioner · NPI 1912538844

Lorine Derusha is a Nurse Practitioner in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2020.

Licensed in
NM
In the registry since
2020

Practice location Address checks out

625 Silver Ave SW Fl 2
Albuquerque, NM 87102-3123
Phone: (506) 273-6849
Fax: (505) 272-6845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 59142 (NM)

Record details

NPI number1912538844
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 29, 2020
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing address800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310

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