Individual
DAKOTA IANNONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2400 UNSER BLVD SE STE 18200, RIO RANCHO, NM 87124-4740
(505) 563-6565
(505) 253-3920
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
60504
NM
Other
Enumeration date
12/30/2024
Last updated
08/28/2025
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