Individual
RONALD MARK EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1316 JACKIE RD SE STE 500, RIO RANCHO, NM 87124-6607
(505) 415-0719
(505) 415-0719
Mailing address
1316 JACKIE RD SE STE 500, RIO RANCHO, NM 87124-6607
(505) 415-0719
(505) 372-0093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03324
NM
Other
Enumeration date
08/04/2017
Last updated
01/12/2026
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