Individual
SUSAN FRANCES DONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12000 STONE LAKE RD, DULCE, NM 87528
(505) 759-7216
(505) 759-7289
Mailing address
43 OAKWOOD CIR, PAGOSA SPRINGS, CO 81147-9354
(970) 731-2901
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
52753
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K3526
—
NM
01
—
HSZ196
MEDICARE PART B
NM
Enumeration date
08/31/2006
Last updated
05/29/2008
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