Individual provider · NPI-1

Elizabeth Anne Donaldson, NP-C

Nurse Practitioner, Family · Espanola, NM

NPI number1598062358
StatusActive
Last updated in NPPESFeb 28, 2014

Details

NPI
1598062358
Entity type
Individual (NPI-1)
Name
Mrs. Elizabeth Anne Donaldson
Credential
NP-C
Sex
Female
Sole proprietor
No
Enumeration date
Feb 14, 2011
Last updated
Feb 28, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyCNP01925NMYes

Practice location

1010 Spruce St.
Espanola, NM 87532

Phone 505-753-7111 · Fax 505-367-0325

Mailing address

1010 Spruce St
Espanola, NM 87532-2724

Phone 505-747-2019

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